• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>The Open Obesity Journal >“Total Knee Arthroplasty in the Context of Severe and Morbid Obesity inAdults”
【24h】

“Total Knee Arthroplasty in the Context of Severe and Morbid Obesity inAdults”

机译：“成人严重和病态肥胖背景下的全膝关节置换术”

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Medical treatment for knee osteoarthritis proves insufficient in a considerable number of patients, who thusrequire surgical intervention, with arthroplasty being one of the most common procedures. The rate of knee replacement isconsequently higher in the obese population. Obese patients who undergo knee arthroplasty face a larger number ofassociated comorbidities than do non-obese individuals, and this greater comorbidity can lead to more postoperativecomplications and worse outcomes. Given that obesity defined according to BMI would cover a large proportion of thepopulation (a quarter of adults have a BMI > 30 kg/m2 in some western societies) attention has focused on which subgroupsmight present the greatest problems. It appears that morbidly obese patients (BMI > 40 kg/m2) are most at risk ofcomplications. Some authors suggest the need to study more precise methods for component alignment in these patients.The use of an intramedullary guide made surgical intervention easier and was associated with a significantly shortertourniquet time. Although the studies refer greater surgical difficulties on the basis of their BMI, the difficulty of surgerywill ultimately depend on the morphology of the knee. The factors associated with a worse postoperative WOMAC scorein severely and morbidly obese patients were the number of comorbidities, infrapatellar anthropometric index belowpercentile 75, greater intraoperative difficulty and the number of postoperative complications. When starting from acomparable preoperative status, severely and morbidly obese patients show a similar improvement than other patients.
机译：事实证明，在相当多的患者中，膝关节骨关节炎的药物治疗不足，因此需要手术干预，而关节置换术是最常见的手术之一。因此，肥胖人群的膝关节置换率更高。与非肥胖者相比，进行膝关节置换术的肥胖患者面临更多的合并症，这种合并症会导致更多的术后并发症和更差的结果。鉴于根据BMI定义的肥胖症将覆盖大部分人口（在某些西方社会中，四分之一的成年人的BMI> 30 kg / m2），注意力已经集中在哪个亚组可能带来最大的问题上。似乎病态肥胖患者（BMI> 40 kg / m2）最容易发生并发症。一些作者建议需要研究这些患者中更精确的组件对准方法。使用髓内引导使外科手术更加容易，并且止血带时间明显缩短。尽管研究基于其BMI指出了更大的手术困难，但手术的困难最终将取决于膝盖的形态。在严重和病态肥胖患者中，术后WOMAC评分较差的相关因素是合并症的数量，fra下人体测量指标低于75％，术中难度更大以及术后并发症的数量。当从可比较的术前状态开始时，重度和病态肥胖患者显示出比其他患者相似的改善。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号