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走大或回家:肥胖和整体关节关节整形术

Michael Blankstein¹, James A Browne², Kevin A Sonn³

¹Department of Orthopaedics and Rehabilitation, University of Vermont, Burlington, VT, USA.

The Journal of arthroplasty

|July 14, 2023

概括

肥胖是常见的,但严格的身体质量指数 (BMI) 截止值对于全关节节管整形术 (TJA) 可能是有缺陷的. 以患者为中心的方法,而不仅仅是减肥,可以确保肥胖患者的安全和有效的TJA.

科学领域:

整形外科手术整形外科手术
肥胖药物肥胖药物肥胖药物
公共卫生公共卫生

背景情况:

肥胖是美国日益严重的公共卫生问题.
肥胖症和增加全关节整形术 (TJA) 并发症风险之间存在强烈的关联.
目前关于肥胖和TJA结果的文献是观察性的和异质的.

研究的目的:

批判性地评估身体质量指数 (BMI) 切断在TJA中的作用.
探索替代策略来管理接受TJA的肥胖患者.
倡导针对肥胖个体的TJA以患者为中心的方法.

主要方法:

审查现有的关于肥胖和TJA结果的观察文献.
分析BMI作为TJA并发症的唯一预测因素的局限性.
讨论强制性手术前减肥的疗效和挑战.

主要成果:

BMI>40的截止值可能不准确地反映TJA风险,并可能造成护理障碍.
支持强制性手术前减肥降低风险的证据有限.
肥胖患者可以在适当的管理下从TJA中获得显著的益处.

结论:

需要重新考虑对TJA的严格的BMI切断值.
建议采用以患者为中心的多学科方法,优化手术前评估和手术内管理.
共享决策和知情同意对于接受TJA的肥胖患者至关重要.

关键词:

这就是为什么BMI是BMI.减肥手术减肥手术是什么肥胖肥胖肥胖肥胖肥胖肥胖肥胖肥胖优化患者的优化.整体关节关节整形术减肥减肥减肥减肥减肥减肥

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