病例报告与文献分析：一名超级肥胖患者的股骨髁上骨折
A Case Report and Literature Analysis:A Supracondylar Femur Fracture in a Super-Obese Patient.
作者信息
Badghish Emran M, Alsulaimany Hani H, Schotanus M
机构信息
Department of Medicine, Faculty of Health, Medicine and Life Science, Maastricht, Netherlands.
Department of Orthopaedic, King Abdulaziz Medical City, Jeddah, Saudi Arabia.
出版信息
J Orthop Case Rep. 2019;9(4):30-33. doi: 10.13107/jocr.2019.v09.i04.1466.
INTRODUCTION
Rate of obese patients are on the rise and fractures on these patients are difficult to treat, risk of management failure is high as they are more prone to develop wound infection, hardware failure, malunion and prolonged procedure time.
CASE REPORT
In this report, we present a case on how we successfully managed a supracondylar femur fracture in a patient with a body mass index of 98.1 kg/m with surgical site infection as the main complication. No literature reported such a case with an astonishing weight of 264 kg given the case uniqueness and importance.
CONCLUSION
A retrograde intramedullary nailing of the femur was performed under difficult circumstances, with a variety of modification to be considered pre-peri and post-operatively. It is advised based on the literature review and expert opinion to take the recommendations into consideration for better outcome.
引言
肥胖患者的数量正在上升，这类患者的骨折难以治疗，由于他们更容易发生伤口感染、内固定失败、骨不连以及手术时间延长，治疗失败的风险很高。
病例报告
在本报告中，我们展示了一例如何成功治疗一名体重指数为98.1kg/m²的患者的股骨髁上骨折的病例，该患者以手术部位感染为主要并发症。鉴于该病例的独特性和重要性，尚无文献报道过体重达264kg的此类病例。
结论
在困难的情况下对股骨进行了逆行髓内钉固定术，术前、术中和术后都需要考虑多种改良措施。根据文献综述和专家意见，建议考虑这些建议以获得更好的治疗效果。
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