Obesity is associated with higher complication rates in revision total hip arthroplasty

被引:12
|
作者
Kennedy, John W. [1 ]
Young, David [2 ]
Meek, Dominic R. M. [1 ]
Patil, Sanjeev R. [1 ]
机构
[1] Queen Elizabeth Univ Hosp, Dept Trauma & Orthopaed, 1345 Govan Rd, Glasgow G51 4TF, Lanark, Scotland
[2] Univ Strathclyde, Dept Math & Stat, Livingstone Tower,26 Richmond St, Glasgow G1 1XH, Lanark, Scotland
关键词
Revision hip arthroplasty; Obesity; Complications;
D O I
10.1016/j.jor.2018.01.018
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
We examined differences in complication rates between obese and non-obese patients undergoing revision total hip arthroplasty. Sixty-five patients with a BMI >= 30 kg/m(2) and 54 patients with a BMI of < 30 kg/m(2) were identified. Obese patients were 2.5 times more likely to suffer a complication than non-obese (38.4% cf 14.8%, p = 0.02). Obese patients were more likely to experience dislocation, leg length discrepancy, fracture, implant loosening, infection and pulmonary embolus. The obese group had a significantly higher revision rate (12.3% cf 1.8%, p = 0.039). Obese patients should be counselled pre-operatively on their elevated risk.
引用
收藏
页码:70 / 72
页数:3
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