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首页> 外文期刊>ANZ journal of surgery >Early outcomes and complications following joint arthroplasty in obese patients: a review of the published reports.
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Early outcomes and complications following joint arthroplasty in obese patients: a review of the published reports.

机译：肥胖患者关节置换术后的早期结果和并发症：已发表报告的综述。

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The incidence of obesity and the number of hip arthroplasties being carried out in Australia each year are significantly increasing. There is an overrepresentation of obesity among patients presenting for elective orthopaedic surgery. The aim of this study was to present a review of published works reporting on obesity and joint replacement surgery in terms of early clinical, functional and quality-of-life outcomes. We conducted a metasearch of databases, including PubMed, Web of Science and The Cochrane Library, from January 1990 to May 2007. Studies published in English with a primary intention of exploring the relationship between obesity and joint arthroplasty were reviewed and results summarized. Key issues identified in relation to obesity and joint replacement surgery included clinical outcomes and complications, functional and quality of life and the influence of arthroplasty surgery on the management of obesity. Reports on early outcomes, that is in the first 12 months following joint replacement surgery, were included in the review. Results for these three key issues were summarized and reported separately. There is evidence in the published reports to support a correlation between obesity and complications following joint replacement surgery. Obesity has been found to be a specific risk factor for joint infection. Research on early functional and quality-of-life data as well as on the influence arthroplasty surgery has on weight management is lacking, and few conclusions can be drawn from the published reports. A study of significant size that examines all three issues in conjunction would be of value in identifying patients at high risk of failure in terms of both clinical and quality-of-life perspectives.
机译：每年在澳大利亚进行的肥胖症发生率和髋关节置换术的数量都在显着增加。在进行整形外科手术的患者中，肥胖症的比例过高。这项研究的目的是就肥胖症和关节置换手术的早期临床，功能和生活质量方面的成果，对已发表的著作进行综述。我们从1990年1月至2007年5月对数据库进行了元搜索，包括PubMed，Web of Science和Cochrane图书馆。该研究以英文发表，其主要目的是探讨肥胖与关节置换术之间的关系，并对结果进行了总结。与肥胖症和关节置换手术有关的关键问题包括临床结局和并发症，功能和生活质量以及关节成形术对肥胖症管理的影响。该评价包括早期结果的报告，即关节置换手术后的前12个月。总结并报告了这三个关键问题的结果。在已发表的报告中有证据支持肥胖与关节置换手术后并发症之间的相关性。已经发现肥胖是关节感染的特定危险因素。缺乏对早期功能和生活质量数据以及关节置换术对体重管理影响的研究，从已发表的报告中几乎无法得出任何结论。一项将所有三个问题结合在一起进行研究的大型研究对于从临床和生活质量的角度确定失败失败的高风险患者具有重要意义。

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