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[超重骨关节炎患者的全髋关节置换术]

[Total hip arthroplasty in overweight osteoarthritis patients].

作者信息

Stiehler M, Goronzy J, Günther K-P

机构信息

UniversitätsCentrum für Orthopädie & Unfallchirurgie, Universitätsklinikum Carl Gustav Carus an der Technischen Universität Dresden, Fetscherstr. 74, 01307, Dresden, Deutschland,

出版信息

Orthopade. 2015 Jul;44(7):523-30. doi: 10.1007/s00132-015-3094-z.

DOI:10.1007/s00132-015-3094-z
PMID:25894514
Abstract

BACKGROUND

An increasing number of patients scheduled for total hip arthroplasty (THA) are obese and exhibit a different risk profile from that of patients of normal weight.

OBJECTIVES

To provide an overview of the impact of obesity on the outcome of primary THA.

MATERIALS AND METHODS

Literature review and discussion of own epidemiological data.

RESULTS

Obese patients can expect as much functional improvement as non-obese patients after THA. However, peri- and postoperative complication (e.g., periprosthetic infection and dislocation) rates are reported to be increased in obese THA patients.

CONCLUSIONS

The knowledge of obesity-associated risks is the prerequiste for successful THA in obese patients.

摘要

背景

越来越多计划接受全髋关节置换术(THA)的患者肥胖,且其风险状况与正常体重患者不同。

目的

概述肥胖对初次全髋关节置换术结果的影响。

材料与方法

文献综述及对自身流行病学数据的讨论。

结果

全髋关节置换术后,肥胖患者有望获得与非肥胖患者一样多的功能改善。然而,据报道肥胖的全髋关节置换术患者围手术期及术后并发症(如假体周围感染和脱位)发生率有所增加。

结论

了解肥胖相关风险是肥胖患者全髋关节置换术成功的先决条件。

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Outcome of an ultrashort metaphyseal-fitting anatomic cementless stem in highly active obese and non-obese patients.
Int Orthop. 2015 Mar;39(3):403-9. doi: 10.1007/s00264-014-2520-x. Epub 2014 Sep 16.
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The effect of obesity on the clinical, functional and radiological outcome of cementless total hip replacement: a case-matched study with a minimum 10-year follow-up.肥胖对非骨水泥型全髋关节置换术临床、功能及影像学结果的影响:一项至少随访10年的病例匹配研究。
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间充质干细胞衍生的细胞外囊泡在骨疾病中的应用:新型无细胞治疗策略
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Orthopade. 2015 Jul;44(7):555-65. doi: 10.1007/s00132-015-3097-9.
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Impact of metabolic syndrome on perioperative complication rates after total joint arthroplasty surgery.代谢综合征对全关节置换术后围手术期并发症发生率的影响。
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Acetabular component orientation in total hip arthroplasty: the impact of obesity.全髋关节置换术中髋臼假体的方向:肥胖的影响。
Hip Int. 2014 May-Jun;24(3):263-9. doi: 10.5301/hipint.5000125. Epub 2014 Mar 17.
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The effect of obesity on direct medical costs in total knee arthroplasty.肥胖对全膝关节置换术直接医疗成本的影响。
J Bone Joint Surg Am. 2014 May 7;96(9):718-24. doi: 10.2106/JBJS.M.00819.
7
Body mass index is not a clinically meaningful predictor of patient reported outcomes of primary hip replacement surgery: prospective cohort study.体重指数并非初次髋关节置换手术患者报告结局的临床意义显著的预测指标:前瞻性队列研究。
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