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Total Joint Arthroplasty in the Morbidly Obese: How Body Mass Index ≥40 Influences Patient Retention, Treatment Decisions, and Treatment Outcomes.肥胖患者的全关节置换术：体重指数≥40 如何影响患者保留率、治疗决策和治疗结果。
J Arthroplasty. 2020 Jan;35(1):39-44. doi: 10.1016/j.arth.2019.08.019. Epub 2019 Aug 17.
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What are the implications of withholding total joint arthroplasty in the morbidly obese? A prospective, observational study.肥胖患者中全关节置换术的禁忌有哪些？一项前瞻性、观察性研究。
Bone Joint J. 2019 Jul;101-B(7_Supple_C):28-32. doi: 10.1302/0301-620X.101B7.BJJ-2018-1465.R1.
3
The Effect of Body Mass Index on 30-day Complications After Revision Total Hip and Knee Arthroplasty.体重指数对全髋关节和膝关节翻修术后 30 天并发症的影响。
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4
Complications and Obesity in Arthroplasty-A Hip is Not a Knee.关节成形术中的并发症与肥胖——髋关节与膝关节不同。
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5
Association Between Body Mass Index and Thirty-Day Complications After Total Knee Arthroplasty.体重指数与全膝关节置换术后 30 天并发症的关系。
J Arthroplasty. 2018 Mar;33(3):865-871. doi: 10.1016/j.arth.2017.09.038. Epub 2017 Oct 6.
6
Postoperative Complications of Total Joint Arthroplasty in Obese Patients Stratified by BMI.按 BMI 分层的肥胖患者全关节置换术后并发症。
J Arthroplasty. 2018 Mar;33(3):856-864. doi: 10.1016/j.arth.2017.09.067. Epub 2017 Oct 10.
7
Biomechanics, obesity, and osteoarthritis. The role of adipokines: When the levee breaks.生物力学、肥胖与骨关节炎。脂肪因子的作用：当堤坝决口时。
J Orthop Res. 2018 Feb;36(2):594-604. doi: 10.1002/jor.23788. Epub 2017 Nov 28.
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A comparison of outcomes in morbidly obese, obese and non-obese patients undergoing primary total knee and total hip arthroplasty.肥胖症患者、肥胖患者及非肥胖患者接受初次全膝关节置换术和全髋关节置换术的疗效比较。
Surgeon. 2018 Feb;16(1):40-45. doi: 10.1016/j.surge.2016.10.005. Epub 2017 Jan 27.
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Effect of Body Mass Index on Reoperation and Complications After Total Knee Arthroplasty.体重指数对全膝关节置换术后再次手术及并发症的影响。
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全髋关节和膝关节置换术后并发症发生率及资源利用情况按体重指数分层分析

Complication rates and resource utilization after total hip and knee arthroplasty stratified by body mass index.

作者信息

Turcotte Justin, Kelly McKayla, Aja Jacob, King Paul, MacDonald James

机构信息

Anne Arundel Medical Center: Annapolis, MD, USA.

出版信息

J Orthop. 2021 Feb 20;24:111-120. doi: 10.1016/j.jor.2021.02.024. eCollection 2021 Mar-Apr.

DOI:10.1016/j.jor.2021.02.024
PMID:33679036
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7930348/
Abstract

Over 295,000 patients from 2016 to 2018 in a national database were grouped into normal weight (BMI 18.5 to <25 kg/m), overweight (25 to <30), type-1 obese (30 to <35), type-2 obese (35 to <40), and type-3 obese (40 or higher). Differences in resource utilization and complication rates across BMI categories were compared. In comparison to normal weight patients, overweight and obese patients undergoing TJA were at risk for increased resource utilization and various early complications. Patients undergoing TKA with a BMI up to 45 kg/m are at similar risk for 30-day postoperative complications when compared to type-1 obese patients.

摘要

2016年至2018年期间，国家数据库中的295,000多名患者被分为正常体重（BMI 18.5至<25 kg/m）、超重（25至<30）、1型肥胖（30至<

35）、2型肥胖（35至<40）和3型肥胖（40及以上）。比较了不同BMI类别之间资源利用和并发症发生率的差异。与正常体重患者相比，接受全膝关节置换术（TJA）的超重和肥胖患者有资源利用增加和各种早期并发症的风险。与1型肥胖患者相比，BMI高达45 kg/m的接受全膝关节置换术（TKA）的患者术后30天并发症风险相似。