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Abstract

Introduction: Arthroplasties, especially on the hip and knee are one of the most common procedures undergone as people age. There are many different comorbidities that affect the success of a surgical intervention. We sought to review current literature to determine if diabetes had a significant impact on the outcome of a procedure compared to other comorbidities.

Methods: A survey across several databases including but not limited to Pubmed, NIH, Mayo Clinic, was performed. Each article was reviewed and assessed whether diabetes had a significant impact on the efficacy of arthroplasties.

Results: We identified 10 articles regarding the post-operative outcome of patients with diabetes and those which lacked diabetes as the un-exposed group. Four papers concluded that glycemic control as opposed to being diagnosed with diabetes had a significant predictive value of the outcome of arthroplasties. The remaining papers attributed the success of an arthroplasty to adherence to therapy, or were inconclusive, stating there are several other variables at play.

Conclusion: Using diabetes alone as a predictor of the post-operative outcome of a procedure is inconclusive. Several other comorbidities are present in diabetic patients at the time of an arthroplasty alongside different levels of compliance to therapy. More trials are needed to determine whether we can find a consistent link between diabetes and the success of arthroplastic procedures.

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Recovery Time of Diabetic Patients Undergoing Arthroplasties: A Literature Review

Introduction: Arthroplasties, especially on the hip and knee are one of the most common procedures undergone as people age. There are many different comorbidities that affect the success of a surgical intervention. We sought to review current literature to determine if diabetes had a significant impact on the outcome of a procedure compared to other comorbidities.

Methods: A survey across several databases including but not limited to Pubmed, NIH, Mayo Clinic, was performed. Each article was reviewed and assessed whether diabetes had a significant impact on the efficacy of arthroplasties.

Results: We identified 10 articles regarding the post-operative outcome of patients with diabetes and those which lacked diabetes as the un-exposed group. Four papers concluded that glycemic control as opposed to being diagnosed with diabetes had a significant predictive value of the outcome of arthroplasties. The remaining papers attributed the success of an arthroplasty to adherence to therapy, or were inconclusive, stating there are several other variables at play.

Conclusion: Using diabetes alone as a predictor of the post-operative outcome of a procedure is inconclusive. Several other comorbidities are present in diabetic patients at the time of an arthroplasty alongside different levels of compliance to therapy. More trials are needed to determine whether we can find a consistent link between diabetes and the success of arthroplastic procedures.

 

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