超级肥胖患者的初次全膝关节置换术：即使与翻修手术相比，术后并发症发生率也显著更高。
Primary Total Knee Arthroplasty in Super-obese Patients: Dramatically Higher Postoperative Complication Rates Even Compared to Revision Surgery.
作者信息
Werner Brian C, Evans Cody L, Carothers Joshua T, Browne James A
机构信息
Department of Orthopaedic Surgery, University of Virginia Health System, Charlottesville, Virginia.
New Mexico Orthopaedics, Center for Joint Replacement, Albuquerque, New Mexico.
出版信息
J Arthroplasty. 2015 May;30(5):849-53. doi: 10.1016/j.arth.2014.12.016. Epub 2014 Dec 19.
This study utilized a national database to evaluate 90 day postoperative complication rates after total knee arthroplasty (TKA) in super obese (BMI > 50 kg/m(2)) patients (n = 7666) compared to non-obese patients (n = 1,212,793), obese patients (n = 291,914), morbidly obese patients (n = 169,308) and revision TKA patients (n = 28,812). Super obese patients had significantly higher rates of local and systemic complications compared to all other BMI groups as well as those undergoing revision TKA with higher rates of venous thromboembolism (VTE), infection, and medical complications. Super obesity is associated with dramatically increased rates of postoperative complications after TKA compared to non-obese, obese, and morbidly obese patients as well as those undergoing revision TKA.
本研究利用一个全国性数据库，评估了超级肥胖（BMI>50kg/m²）患者（n = 7666）与非肥胖患者（n = 1212793）、肥胖患者（n = 291914）、病态肥胖患者（n = 169308）以及全膝关节置换术（TKA）翻修患者（n = 28812）相比，全膝关节置换术后90天的并发症发生率。与所有其他BMI组以及接受TKA翻修的患者相比，超级肥胖患者发生局部和全身并发症的几率显著更高，静脉血栓栓塞（VTE）、感染和医疗并发症的发生率也更高。与非肥胖、肥胖和病态肥胖患者以及接受TKA翻修的患者相比，超级肥胖与TKA术后并发症发生率的显著增加有关。
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