Lazar Meredith A, Plocher Elizabeth K, Egol Kenneth A
Department of Orthopaedic Surgery, New York University-Hospital for Joint Diseases, New York, New York 10010, USA.
Am J Orthop (Belle Mead NJ). 2010 Apr;39(4):175-82.
Obesity has been increasing steadily in the US population over the past 50 years. In trauma patients, obesity is associated with higher morbidity and mortality. There are reported increases in the incidence of cardiovascular, pulmonary, venous thromboembolic, and infectious complications in obese trauma patients. Obese patients who sustain high-energy traumatic injuries often sustain orthopedic injuries to the pelvis or lower extremities. Obese orthopedic trauma patients may be at higher risk for nerve injuries secondary to positioning, intraoperative complications, loss of reduction after surgery, increased intraoperative estimated blood loss, and increased operative times. Orthopedic surgeons must be aware of these results when treating these fractures in obese trauma patients.
在过去50年里，美国肥胖人口一直在稳步增加。在创伤患者中，肥胖与更高的发病率和死亡率相关。据报道，肥胖创伤患者心血管、肺部、静脉血栓栓塞和感染并发症的发生率有所上升。遭受高能创伤性损伤的肥胖患者常发生骨盆或下肢的骨科损伤。肥胖的骨科创伤患者因体位、术中并发症、术后复位丢失、术中估计失血量增加和手术时间延长而发生神经损伤的风险可能更高。骨科医生在治疗肥胖创伤患者的这些骨折时必须了解这些结果。
