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Metabolic abnormality and the proinflammatory state following hip joint surgery

机译:髋关节手术后的代谢异常和促炎状态

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Hip surgery is one of the most commonly performed operations in adult orthopedics. A significant proportion of patients undergoing hip surgery are at considerable risk for postoperative complications secondary to age-related medical issues and the morbidity and mortality associated with hip fractures. Inflammation has been shown to play a pivotal role in the host response to total hip arthroplasty and hip fracture surgery. A newly evolved area of research aimed at investigating the complex biochemical roles of the immune system, cytokine cascades and adipose tissue in the systemic inflammatory response to hip surgery has already identified a few central players in this response, namely IL-6, leptin and cortisol. This new area of study has also begun to define the influence of the metabolic syndrome on creating an underlying, chronic state of low-grade systemic inflammation that may predispose patients to postoperative complications in the setting of hip surgery. The ultimate goal of researchers is to develop therapeutic strategies targeted at modulating and controlling postoperative inflammation. In doing so, it is believed that we can improve the biochemical environment in which hip surgery is performed, ameliorate patient outcomes in the realm of pain and function, and predict and reduce postoperative complications associated with aberrant immune and inflammatory responses.
机译:髋关节手术是成人骨科手术中最常进行的手术之一。接受髋关节手术的患者中,很大一部分处于与年龄相关的医学问题以及与髋部骨折相关的发病率和死亡率所致的术后并发症的相当大的风险中。炎症已显示在宿主对全髋关节置换术和髋部骨折手术的反应中起关键作用。旨在研究免疫系统,细胞因子级联和脂肪组织在髋部手术的全身性炎症反应中的复杂生物化学作用的新研究领域已经确定了这种反应的几个主要参与者,即IL-6,瘦素和皮质醇。这个新的研究领域也已开始确定代谢综合征对产生潜在的慢性低度全身性炎症状态的影响,这种状态可能使患者在进行髋关节手术时容易发生术后并发症。研究人员的最终目标是开发针对调节和控制术后炎症的治疗策略。通过这样做,我们相信可以改善进行髋关节手术的生化环境,改善患者在疼痛和功能方面的结果,并预测和减少与异常免疫和炎症反应相关的术后并发症。

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