INFLUENCE OF HbA1c IN TOTAL KNEE ARTHROPLASTY WOUND HEALING
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 46
Abstract
BACKGROUND Wound healing can be at risk in Diabetic patients undergoing any surgical procedure. The operative procedures done in elderly patients are at higher risk for developing post-operative complications including wound healing. Though the patients claim and get evaluated for Diabetes mellitus with normal or under control Blood sugar levels, HbA1c levels are very often elevated indicating the fact that the normal or under control Blood sugar levels are with previous long-term poor controls. MATERIALS AND METHODS In a study group of 280 patients with poor glycaemic control, undergoing a major surgery, the influence of elevated HbA1c is studied for the wound healing based on Hollander Wound Evaluation Score (HWES). RESULTS All the patients in the study group have good HWES on or before first month of followup. CONCLUSION Though poor glycaemic control is known by elevated HbA1c, it alone cannot influence the wound healing in the presence of corrected and maintained blood sugar levels.
Authors and Affiliations
Narendra Reddy B, Anil Babu P
Keywords
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- EP ID EP217336
- DOI 10.14260/Jemds/2017/767
- Views 93
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