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首页> 美国卫生研究院文献>The Scientific World Journal >Better Outcomes in Severe and Morbid Obese Patients (BMI 35 kg/m2) in Primary Endo-Model Rotating-Hinge Total Knee Arthroplasty
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Better Outcomes in Severe and Morbid Obese Patients (BMI 35 kg/m2) in Primary Endo-Model Rotating-Hinge Total Knee Arthroplasty

机译：重度和病态肥胖患者（BMI 35 kg / m2）在原发性内弯型旋转铰链全膝关节置换术中获得更好的结果

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The Endo-Model rotating-hinge prosthesis is preferably indicated as a primary implant in patients with advanced axial deviation of the lower limbs or unstable knees with severe bone defects. Outcomes were studied in 111 knees, operated in a three-year period; the mean followup was 28 months. Joint balance enhancement and limbs mechanical axis correction were achieved after surgery. There were 6 deep infections and 16 patients referred postoperative anterior knee pain. WOMAC index scores disaggregated by gender and BMI showed better outcomes in obese patients (specifically, those with a BMI of 35–40 kg/m2) and in men. Although the lack of a control group did not allow definite conclusions and despite a nonnegligible complication rate, our results reveal that the Endo-Model total knee arthroplasty can be a useful tool to deal with severe and morbid obese patients affected of severe gonarthrosis associated with marked axial deviations, ligament instability, or bone defects.
机译：Endo-Model旋转铰链假体最好用于下肢轴向偏斜严重或骨骼严重缺损的不稳定膝关节患者。在三年的时间内对111膝的结局进行了研究。平均随访28个月。手术后达到关节平衡增强和四肢机械轴校正。发生深部感染6例，术后膝关节疼痛16例。 WOMAC指数按性别和BMI进行分类显示，肥胖患者（特别是BMI为35–40 kg / m 2 的患者）和男性的预后较好。尽管缺乏对照组不能得出明确的结论，尽管并发症发生率不可忽略，但我们的研究结果表明，Endo-Model全膝关节置换术可以作为治疗严重的和病态的肥胖症患者的重要工具，该患者患有严重的角膜病并伴有明显的关节炎。轴向偏差，韧带不稳定或骨骼缺损。

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