Domingue Grayson, Fox Jake, Mier Fernando, Maqusi Suhair, Fischer Laura, Thakral Rishi
University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.
Vanderbilt Medical Center, Memphis, TN, USA.
Arthroplast Today. 2023 Mar 6;20:101108. doi: 10.1016/j.artd.2023.101108. eCollection 2023 Apr.
Obesity and lower-extremity arthritis are challenging problems to address as they are often mutually exacerbating. Due to the known perioperative risk of morbid obesity, the modality and timing of weight loss prior to arthroplasty is debated. We present a case of a 55-year-old nonambulatory female patient with an initial body mass index of 80.3 kg/m. This individual underwent a staged bariatric and joint replacement surgical pathway employing personnel of differing treatment disciplines. Our patient successfully lost a substantial amount of weight and has been able to ambulate, exercise, and engage in new, strenuous physical activities. In the care of the nonambulatory bariatric patient, employing a multidisciplinary treatment plan can produce successful results.
肥胖和下肢关节炎是难以解决的挑战性问题，因为它们常常相互加剧。由于已知病态肥胖患者围手术期存在风险，所以关节置换术前减肥的方式和时机存在争议。我们报告一例55岁非卧床女性患者，初始体重指数为80.3kg/m²。该患者采用了分阶段的减肥和关节置换手术路径，涉及不同治疗学科的人员。我们的患者成功减轻了大量体重，并且已经能够行走、锻炼，并参与新的高强度体育活动。在照顾非卧床肥胖患者时，采用多学科治疗方案能够产生成功的效果。
