Howard University College of Medicine, Washington, DC; Howard University Hospital, Department of Orthopaedic Surgery and Rehabilitation, Washington, DC.
Howard University Hospital, Department of Surgery, Washington, DC.
J Surg Orthop Adv. 2020 Winter;29(4):205-208.
Obesity is a modifiable risk factor that causes mechanical forces to be exerted within the joints, further contributing to the debilitating effects of osteoarthritis. Total Knee Arthroplasty (TKA) can have a profound impact on patients with osteoarthritis, providing them with increased quality of life, improved function, reduction of pain, while simultaneously preventing the development of additional comorbidities. Although there is inconclusive evidence that increased body mass index (BMI) is linked to increased perioperative complications among TKA patients, recent studies suggest this association exists. The aim of this study is to provide conclusive data on the effects of BMI on perioperative complications in TKA using the national risk-adjusted database, ACS-NSQIP. Our study demonstrated that there was a correlation between increased BMI and perioperative outcomes, particularly with surgical site infections, renal, and respiratory complications. (Journal of Surgical Orthopaedic Advances 29(4):205-208, 2020).
肥胖是一种可改变的风险因素，它会在关节内产生机械力，进一步导致骨关节炎的致残影响。全膝关节置换术（TKA）可以对骨关节炎患者产生深远的影响，为他们提供更高的生活质量、改善功能、减轻疼痛，同时预防其他合并症的发展。尽管目前尚无确凿证据表明，超重指数（BMI）与 TKA 患者围手术期并发症增加有关，但最近的研究表明这种关联确实存在。本研究的目的是使用国家风险调整数据库（ACS-NSQIP）提供关于 BMI 对 TKA 围手术期并发症影响的确凿数据。我们的研究表明，BMI 与围手术期结果之间存在相关性，特别是与手术部位感染、肾脏和呼吸系统并发症相关。（《外科矫形进展杂志》29（4）：205-208，2020 年）。
