肥胖的严重程度预测了膝关节关节整形术后的患者不满
Ennio A Rizzo1, Rachel D Phillips1, J Turner Brown1
1Department of Orthopaedic Surgery, University of Missouri, Columbia, Missouri.
The Journal of arthroplasty
|June 5, 2023
概括
患有严重肥胖症 (II/III类) 的患者在全膝关节整形术 (TKA) 后的满意度较低. 这凸显了对接受TKA的肥胖个体进行改进的手术策略或调整患者期望的需要.
科学领域:
- 整形外科手术 整形外科手术
- 生物医学工程 生物医学工程
- 患者研究成果研究结果
背景情况:
- 患者的不满影响了15-20%的膝关节关节整形手术 (TKA) 程序.
- 肥胖患病率的增加可能会抵消TKA的改善,影响患者的满意度.
- 肥胖严重程度对患者报告的TKA满意度的影响需要调查.
研究的目的:
- 为了确定肥胖症的严重程度是否会影响TKA后的患者满意度.
- 为了比较肥胖和非肥胖TKA患者之间的结果.
主要方法:
- 对比了229名患者 (世卫组织II/III类肥胖症) 与287名患者 (正常体重与I类肥胖症) 的人口统计和结果数据.
- 使用了世界卫生组织 (WHO) 的肥胖分类.
- 评估了手术前期的预期和1年的术后结果.
主要成果:
- 肥胖患者 (II/III类) 较年轻,有更多的疼痛和阿片类药物使用.
- 两组都报告了高的整体满意度 (89.4%对92.6%).
- 然而,II/III类肥胖患者的高满意度较低 (68.1%与78.5%) 和不满意度较高 (5.1%与0.9%).
结论:
- 患有世卫组织二级和三级肥胖症的患者经历了更大的TKA不满.
- 需要对肥胖患者的植入物设计或手术技术进行进一步的研究.
- 术前咨询可能需要调整严重肥胖患者的满意度预期.
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