Knee Surgery, Sports Traumatology, Arthroscopy

, Volume 23, Issue 7, pp 2026–2031

Perioperative hyperglycaemia and incidence of post-operative complications in patients undergoing total knee arthroplasty

  • Diego Reátegui
  • Gerard Sanchez-Etayo
  • Esther Núñez
  • Monserrat Tió
  • Dragos Popescu
  • Monserrat Núñez
  • Luis Lozano
Knee

DOI: 10.1007/s00167-014-2907-7

Cite this article as:
Reátegui, D., Sanchez-Etayo, G., Núñez, E. et al. Knee Surg Sports Traumatol Arthrosc (2015) 23: 2026. doi:10.1007/s00167-014-2907-7

Abstract

Purpose

The aim of this study was to assess whether hyperglycaemia in the post-operative period of total knee arthroplasty (TKA) affects post-operative complications regardless of diabetes mellitus (DM) diagnosis.

Methods

All patients who had undergone primary TKA were included in the study. The following data were recorded: DM diagnosis, and pre- (BGL1), intra- (BGL2) and post-operative blood glucose levels (BGL3). After 1-year follow-up, medical, infectious and mechanical or surgery-related complications were recorded.

Results

Of the 833 patients included, 130 (15.6 %) were diabetic. Median BGL1, BGL2 and BGL3 were 106.13, 93.49 and 134.16 mg/dl, respectively. After follow-up, 173 (20.8 %) patients presented complications, including 48 (5.76 %) medical complications and 94 (11.28 %) infections. Surgery-related complications presented in 31 (3.72 %) patients. A statistically significant association was found between BGL3 ≥ 126 mg/dl and complications (OR 1.95, p < 0.001), medical complications (OR 3.98, p < 0.001), and infections (OR 1.76, p < 0.006).

Conclusions

Hyperglycaemia during the post-operative period in diabetic and non-diabetic patients undergoing TKA increases post-operative medical and infectious complications. Glycemic control during this period must be performed in order to reduce these complications.

Level of evidence

Retrospective case series, Level IV.

Keywords

Total knee arthroplastyDiabetes mellitusHyperglycaemiaComplications

Copyright information

© Springer-Verlag Berlin Heidelberg 2014

Authors and Affiliations

  • Diego Reátegui
    • 1
  • Gerard Sanchez-Etayo
    • 2
  • Esther Núñez
    • 3
  • Monserrat Tió
    • 2
  • Dragos Popescu
    • 4
  • Monserrat Núñez
    • 5
  • Luis Lozano
    • 4
  1. 1.Trauma and Orthopedics DepartmentHospital ClinicBarcelonaSpain
  2. 2.Anesthesiologic DepartmentHospital ClinicBarcelonaSpain
  3. 3.Institut Català de la SalutBarcelonaSpain
  4. 4.Knee Unit, Trauma and Orthopedics DepartmentHospital ClinicBarcelonaSpain
  5. 5.Reumathology DepartmentHospital ClinicBarcelonaSpain