hypertensive patients show delayed wound healing following total hip arthroplasty高血压患者全髋关节置换术后延迟伤口愈合.pdfVIP

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hypertensive patients show delayed wound healing following total hip arthroplasty高血压患者全髋关节置换术后延迟伤口愈合.pdf

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hypertensive patients show delayed wound healing following total hip arthroplasty高血压患者全髋关节置换术后延迟伤口愈合

Hypertensive Patients Show Delayed Wound Healing following Total Hip Arthroplasty 1 2 2 2 3 Awad A. Ahmed *, Pekka A. Mooar , Matthew Kleiner , Joseph S. Torg , Curtis T. Miyamoto 1Temple University School of Medicine, Philadelphia, Pennsylvania, United States of America, 2 Department of Orthopaedics and Sports Medicine, Temple University Hospital, Philadelphia, Pennsylvania, United States of America, 3 Department of Radiation Oncology, Temple University Hospital, Philadelphia, Pennsylvania, United States of America Abstract Background: Prolonged wound-discharge following total hip arthroplasty (THA) is associated with an increased risk of infection. However, the potential role of hypertension in prolonging the duration of wound healing in this population has not yet been investigated. The aim of the present study was to compare healing in this population that has not yet been investigated. The aim of the present study was to compare hypertensive and normotensive THA patients in terms of the length of time required to achieve a dry wound and the length of stay in the hospital. Methods: One hundred and twenty primary THA patients were evaluated. Pre-operative clinical history and physical examination revealed that 29 were hypertensive and 91 were normotensive. The two groups were statistically matched using optimal propensity score matching. The outcomes of interest were the number of days until a dry wound was observed and the duration of hospital stay. Results: The average systolic blood pressures were 150.1 mmHg and 120.3 mmHg for the hypertensive and normotensive groups, respectively. The mean number of days until the wound was dry was 3.79 for the hypertensive group and 2.03 for