在全关节整形术中营养不良:整形外科医生应该考虑什么?
Peter Richard Almeida1, Lipalo Mokete1, Nkhodiseni Sikhauli1
1University of the Witwatersrand, Charlotte Maxeke Johannesburg Academic Hospital, Johannesburg, South Africa.
EFORT open reviews
|July 1, 2024
概括
在全关节整形术 (TJA) 之前优化营养对于预防并发症至关重要. 解决营养不良问题,包括营养不良和营养过剩,可以改善患者的治疗结果,并降低医疗保健成本.
科学领域:
- 整形外科手术 整形外科手术
- 营养科学 营养科学
- 患者的治疗结果.
背景情况:
- 全关节整形术 (TJA) 在全球范围内越来越多,导致更多的并发症.
- 营养不良,包括营养不足和营养过剩,是影响TJA结果的显著可修改的风险因素.
- 营养不良相关的并发症包括周围假肢关节感染,骨折,脱,无菌松动,贫血,长时间住院,增加死亡率和更高的医疗保健成本.
研究的目的:
- 强调在全关节整形术 (TJA) 中术前营养优化的重要性.
- 在骨科手术的背景下定义营养不良及其对TJA的广泛影响.
- 强调骨科外科医生需要了解手术前营养管理,以获得成功的TJA.
主要方法:
- 审查TJA的营养评估方法,包括评分工具,人体测量和血清学标记.
- 讨论骨科手术中营养不良的广泛定义,涵盖营养不良到营养过剩.
- 对TJA患者营养不良相关并发症的分析.
主要成果:
- 营养不良与众多TJA并发症有关,如周围假肢关节感染,骨折和长时间停留.
- 目前的手术前营养评估缺乏标准化的参数和方法.
- 纠正营养异常 (营养不良或营养过多) 已证明改善了TJA结果.
结论:
- 手术前的营养状况是影响关节整形术成功的关键因素.
- 对于TJA,营养评估和干预方案的标准化是必要的.
- 整形外科医生需要全面了解手术前营养优化,以提高TJA患者的治疗结果.
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