较高的BMI与Haglund形切除后的伤口分解有关
Kali J Morrissette1, Katherine M Kutzer1, Alexandra N Krez1
1Department of Orthopaedic Surgery, Duke University Medical Center, Durham, NC, USA.
Foot & ankle international
|November 8, 2024
概括
接受哈格隆德切除术的肥胖患者面临更高的并发症风险,特别是伤口破损. 仔细的患者选择和术后优化对于骨手术后的成功结果至关重要.
科学领域:
- 整形外科手术 整形外科手术
- 足部外科手术 足部外科手术
- 肥胖药物 肥胖药物 肥胖药物
背景情况:
- 哈格隆德形涉及一个扩大的骨,可能导致炎和阿基里斯肌炎.
- 肥胖症是骨科患者群体日益关注的问题.
研究的目的:
- 为了调查肥胖和手术后并发症之间的联系,在哈格隆德形切除后.
- 分析不同类别的身体质量指数 (BMI) 的并发症率.
主要方法:
- 对370名接受哈格隆德切除术 (2015-2023) 的患者进行了回顾性审查.
- 根据BMI分层的患者:正常 (<25),超重 (25-29.9) 和肥胖 (≥30).
- 肥胖患者根据BMI进一步分为I,II和III类.
主要成果:
- 肥胖患者 (73.8%) 与超重 (2.6%) 和正常 (0.0%) 组 (P=.02) 相比,具有显著更高的伤口破坏率 (11.0%).
- 肥胖队列显示女性,黑人/非裔美国人种族,糖尿病和ASA分数更高的患病率更高.
- 在肥胖子类之间没有发现并发症的显著差异.
结论:
- 肥胖是出现并发症的重要危险因素,特别是Haglund切除术后的伤口破坏.
- 术后优化和仔细的患者选择对于管理接受这种手术的肥胖患者至关重要.
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