Søballe K, Christensen F, Luxhøj T
Acta Orthop Scand. 1987 Jun;58(3):223-5. doi: 10.3109/17453678709146470.
In a 5-year follow-up study of 125 hip replacements a. m. Lubinus, 41 obese and 84 nonobese patients were compared. Peroperative blood loss was greater in the obese patients. There was, however, no difference in the operation or hospitalization times between the compared groups. There was no infection, wound dehiscence, or delay in wound healing. No deaths occurred during the immediate postoperative period. The obese patients had a lower preoperative walking-ability score. At follow-up, this difference was eliminated. Radiographic signs of loosening were equally common in the compared groups. Three patients, two of whom were in the nonobese group, had been reoperated on because of prosthetic loosening. Our results indicate that obesity does not increase the risk of surgical complication or prosthetic loosening in hip replacement.
在对125例接受髋关节置换术的患者进行的一项为期5年的随访研究中，比较了41例肥胖患者和84例非肥胖患者。肥胖患者术中失血量更大。然而，比较组之间的手术时间和住院时间并无差异。未发生感染、伤口裂开或伤口愈合延迟情况。术后即刻期间无死亡病例。肥胖患者术前步行能力评分较低。在随访时，这种差异已消除。比较组中假体松动的影像学征象同样常见。3例患者因假体松动接受了再次手术，其中2例在非肥胖组。我们的结果表明，肥胖并不会增加髋关节置换术的手术并发症风险或假体松动风险。
