Department of Orthopaedic Surgery, Middlemore Hospital, Counties Manukau DHB, Auckland, NZ.
Christchurch Clinical School, University of Otago, Christchurch, NZ.
J Arthroplasty. 2014 Oct;29(10):1884-8. doi: 10.1016/j.arth.2014.05.024. Epub 2014 Jun 4.
This study assessed the early outcomes of total hip arthroplasty compared with body mass index (BMI). 5357 hip arthroplasties were evaluated. Oxford Scores, revision for any reason and other factors including American Society of Anaesthesiology scores, length of surgery and cementation of components were analyzed. Both a high and a low BMI predicted for worse Oxford Hip Scores. Obese and morbidly obese patients had significantly lower six month Oxford Scores than healthy patients, the lowest survival, were younger than all other groups and had greater proportions with fully un-cemented prostheses. At this early stage, the results show that outcome and early revision are statistically and clinically poorer for obese patients.
本研究评估了全髋关节置换术与体重指数（BMI）的早期结果。评估了 5357 例髋关节置换术。分析了牛津评分、任何原因的翻修以及其他因素，包括美国麻醉医师协会评分、手术时间和组件的固定。高和低 BMI 均预示着牛津髋关节评分较差。肥胖和病态肥胖患者的 6 个月牛津评分明显低于健康患者，生存率最低，比其他所有组都年轻，且完全非骨水泥假体的比例更高。在这个早期阶段，结果表明肥胖患者的结果和早期翻修在统计学和临床上都更差。
