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Corticosteroid or hyaluronic acid injections to the carpometacarpal joint of the thumb joint are associated with early complications after subsequent surgery
- Source :
- The Journal of hand surgery, European volume. 43(10)
- Publication Year :
- 2018
-
Abstract
- Truven MarketScan® Databases were used to identify patients with thumb carpometacarpal arthritis who underwent surgical treatment. Pre-operative corticosteroid or hyaluronic acid injections were identified, as were post-operative complications. Multivariable regressions assessed the relationship between injections and complications. Of 16,268 patients, 4462 had steroid injections and 252 received hyaluronic acid injections. Twenty-one per cent (3381 patients) had post-operative complications. Diabetes and smoking increased the odds of complications in all models. Odds of any complication, most notably infectious complications, were increased 20% by corticosteroids (OR 1.2; 95% CI: 1.1 to 1.3). More than three injections increased the odds of a complication by 70% (OR 1.7; 95% CI: 1.3 to 2.1). Hyaluronic acid increased the odds of wound-healing complications by 110% (OR 2.1; 95% CI: 1.3 to 3.4). Corticosteroid and hyaluronic acid injections for thumb carpometacarpal arthritis increase the odds of post-operative complications. Level of evidence: IV
- Subjects :
- medicine.medical_specialty
Thumb joint
medicine.drug_class
Arthritis
Thumb
Injections, Intra-Articular
Diabetes Complications
03 medical and health sciences
chemistry.chemical_compound
0302 clinical medicine
Postoperative Complications
Carpometacarpal joint
Hyaluronic acid
Osteoarthritis
Preoperative Care
medicine
Humans
Hyaluronic Acid
Surgical treatment
Glucocorticoids
030203 arthritis & rheumatology
030222 orthopedics
Viscosupplements
business.industry
Smoking
Carpometacarpal Joints
medicine.disease
Surgery
medicine.anatomical_structure
chemistry
Corticosteroid
business
Subjects
Details
- ISSN :
- 20436289
- Volume :
- 43
- Issue :
- 10
- Database :
- OpenAIRE
- Journal :
- The Journal of hand surgery, European volume
- Accession number :
- edsair.doi.dedup.....8ab68009d96e57b86bd3f48d5a2f6a95