Læknablaðið - 15.10.2005, Blaðsíða 30

FRÆÐIGREINAR / GERVILIÐAAÐGERÐIR
er til að festa gerviliðinn inniheldur sýklalyfið
Gentamicin (Genapalacos).
Ályktun
Óhætt er að álykta að árangur gerviliðaðgerða á
hnjám á FSA standist fullkomlega alþjóðlegan sam-
anburð hvað varðar tíðni enduraðgerða, fylgikvilla
og sýkingatíðni. Við samanburð við sænsku gervi-
liðaskránna sést glögglega hve árangurinn er góður,
þar sem tíðni enduraðgerða vegna loss og sýkinga
er í báðum tilvikum sambærilegur á FSA við sænsku
gerviliðaskrána þegar litið er til AGC gerviliðarins.
Einnig staðfestir rannsóknin að varhugavert er að
taka upp nýjungar, eins og PCA hálfgerviliðinn á
sínum tíma, áður en langtímaárangur er ljós.
Þakklr
Við viljum þakka Snæbirni Friðrikssyni verkfræð-
ingi á FSA fyrir aðstoð við tölvuvinnslu, og lækna-
riturum á FSA fyrir mikla og auðsótta aðstoð.
Rannsókn þessi naut styrks frá Vísindasjóði FSA.
Heimildir
1. Lidgren L, Knutson K, Robertsson O. Annual report The
Swedish Knee arthroplasty Register 2003 Part I.
2. Robertsson O, Dunbar M, Pehrsson T, Knutson K, Lidgren
L. Patient satisfaction after knee arthroplasty: a report on
27,372 knees operated on between 1981 and 1995 in Sweden. J
Arthroplasty 2001; 16: 476-82.
3. Mitchell P. Laplante, Health conditions and Impairments
Causing Disability. Disability Statistics. Abstract Number 16,
May 1996.
4. Palmer SH, Cross MJ. Total Knee Arthroplasty. eMedicine
(cited 2004 Jan 30); 1-20: (20 screens). Fáanlegt á slóðinni:
vvww. emedicine. com/orthoped/topic347. htm
5. Taylor JW, Rorabeck CH, Bourne RB, Inman KJ. Total Knee
Arthroplasty in Patients 50 Years og Yonger: Long-Term
follow-up. In: Abstracts of the 67th annual meeting of the
American Academy of Orthopedic Surgeons, Orlando FL,
2000. (cited 2000 feb 3); 1: (1 screen). Fáanlegt á slóðinni: www.
aaos.org/wordhtml/anmt2000/sciprog/185.htm
6. Landlæknisembættið. Tölulegar upplýsingar um aðsókn og
mannafla. Biðlistar, september 2003. Fáanlegt á slóðinni:
http://IandIaeknir.is/Uploads/FileGallery/Heilbrigdistolfraedi/
Bidlistar0903_samantekt.xls
7. Bawa M, Mears S, Mont MA, Pietryak P, Jones LC, Krackow
A, et al. Coding for Perioperative Complications Does not
Accurately Determine the True Complication Rate in Total
Knee Arthroplasty. In: Poster exhibits 67th Annual Meeting,
American Academy of Orthopedic Surgeons, Orlando FL,
2000 (cited 2000, feb 22); 1: (1 Screen). Fáanlegt á slóðinni:
www.aaos.org/wordhtml/anmt2000/poster/pe011 .htm
8. Franklin J, Robertsson O, Gestsson J, Lohmander LS,
Ingvarsson T. Revision and complication rates in 654 Exeter
total hip replacements, with a maximum follow-up of 20 years.
BMC Musculoskelet Disord 2003; 4; 6.
9. Robertsson O, Dunbar MJ, Knutson K, Lidgren L Past
incidence and future demand for knee arthroplasty in Sweden.
A report from the Swedish Knee Arthroplasty register
regarding the effect of past and future population changes on
the number of arthroplasties performes. Acta Orthop Scand
2000; 71: 376-80.
10. Felson DT, Naimark A, Anderson J, Kazis L, Castelli W,
Meenan RF. The prevalence of knee osteoarthritis in the
elderly. The Framingham Osteoarthritis Study. Arthritis
Rheum 1987; 30: 914-8.
11. Mantilla CB, Horlocker TT, Schroeder DR, Berry DJ, Brown
DL. Risk Factors for Clinically Relevant Pulmonary Embolism
and Deep Venous Thrombosis in Patients Undergoing Primary
Hip or Knee Arthroplasty. Anesthesiology 2003; 99: 552-60;
discussion 5A.
12. Skyrme AD, Mencia MM, Skinner PW, Early failure of the
porous-coated anatomic cemented unicompartmental knee
arthroplasty: A 5- to 9-year follow-up study. J Arthroplasty
2002; 17: 201-5.
13. Lindstrand A, Stenström A, Lewold S. Multicenter study of
unicompartmental knee revision. PCA, Mamor, and st George
compared in 3777 cases of arthrosis. Acta Orthop Scand 1992;
63:256-9.
14. Stukenborg-Colsman C, Wirth CJ. Knee endoprosthesis:
clinical aspects. Orthopade 2000; 29: 732-8.
15. Mantilla CB, Horlocker TT, Schroder DR, Berry DJ, Brown
DL. Frequency of myocardial infarction, pulmonary embolism,
deep venous thrombosis, and death following primary hip or
knee arthroplasty. Anesthesiology 2002; 96:1140-6.
16. Feinglass J, Amir H, Taylor P, Lurie I, Manheim LM Chang
RW. How Safe is Primary Knee Replacement Surgery?
Perioperative Complication Rates in Northern Illinois, 1993-
1999. Arthritis Rheum 2004; 51:110-6.
17. Wilson MG, Kelley K, Thornhill TS. Infection as a
complication of total knee-replacement arthroplasty. Risk
factors and treatment in sixty-seven cases. J Bone Joint Surg
Am 1990; 72: 878-83.
18. Hanssen AD, Rand JA. Evaluation and treatment of infection
at the site of a total hip or knee arthroplasty. Instr Course Lect
1999; 48:111-22.
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