Kennedy Ian W, Young David, Meek Dominic R M, Patil Sanjeev R
Department of Trauma and Orthopaedics, Queen Elizabeth University Hospital, 1345 Govan Road, Glasgow G51 4TF, United Kingdom.
Department of Mathematics and Statistics, University of Strathclyde, Livingstone Tower, 26 Richmond Street, Glasgow G1 1XH, United Kingdom.
J Orthop. 2018 Jan 30;15(1):70-72. doi: 10.1016/j.jor.2018.01.018. eCollection 2018 Mar.
We examined differences in complication rates between obese and non-obese patients undergoing revision total hip arthroplasty. Sixty-five patients with a BMI ≥30 kg/m and 54 patients with a BMI of <30 kg/m were identified. Obese patients were 2.5 times more likely to suffer a complication than non-obese (38.4% 14.8%, p = 0.02). Obese patients were more likely to experience dislocation, leg length discrepancy, fracture, implant loosening, infection and pulmonary embolus. The obese group had a significantly higher revision rate (12.3% 1.8%, p = 0.039). Obese patients should be counselled pre-operatively on their elevated risk.
我们研究了接受翻修全髋关节置换术的肥胖患者和非肥胖患者之间并发症发生率的差异。确定了65例BMI≥30kg/m²的患者和54例BMI<30kg/m²的患者。肥胖患者发生并发症的可能性是非肥胖患者的2.5倍（38.4%对14.8%，p=0.02）。肥胖患者更有可能出现脱位、肢体长度差异、骨折、植入物松动、感染和肺栓塞。肥胖组的翻修率显著更高（12.3%对1.8%，p=0.039）。术前应向肥胖患者告知其风险升高的情况。
