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对于接受初级全膝关节置换的患者,是否有身体质量指数的门-文献综述

Muhammad Kamran¹, Mahmoud Abumarzouq², Anant Mahapatra³

¹Senior House Officer Orthopaedics & Trauma Surgery, OLHN, MBBS, C15 RK7Y Navan, Ireland.

Journal of clinical medicine

|January 10, 2026

概括

体重指数 (BMI) 对膝关节整形术 (TKA) 风险产生影响,但特定的BMI截止值不应该排除患者. 考虑到并发症和优化的个性化护理是成功治疗肥胖个体TKA的关键.

科学领域:

整形外科整形外科整形外科
老年医学老年医学
公共卫生公共卫生

背景情况:

骨关节炎 (OA) 是老年人群中导致残疾的主要原因.
膝关节整形术 (TKA) 是一种常见的治疗方法,用于晚期的OA.
体重指数 (BMI) 较高的肥胖与OA的发展有关,并影响TKA的结果.

研究的目的:

审查关于特定的BMI值是否应该决定获得初级TKA的资格的文献.
评估BMI对手术风险,植入成功和TKA后功能恢复的影响.

主要方法:

在PubMed,科克伦图书馆,EMBASE和谷歌学者系统的文献搜索.
包括过去二十年的同行评审研究.
专注于BMI与初级TKA临床结果之间的关系.

主要成果:

较高的BMI (特别是≥40 kg/m2) 与术前/术后并发症 (伤口问题,感染,血栓栓塞,更长的住院时间,更高的修复率) 的增加相关.
肥胖和致病性肥胖患者在TKA后表现出与非肥胖个体相比的显著功能改善.
目前的文献对TKA资格没有普遍的BMI截止值的支持.

结论:

体重指数是手术风险的一个重要因素,但不是TKA的绝对排除标准.
建议采用个性化的方法,考虑BMI以及并发症,功能状态和手术前优化.
在所有BMI类别中,TKA是一种有价值的干预措施,具有适当的患者选择和风险管理.

关键词:

身体质量指数 (BMI) 是指身体质量指数.功能恢复恢复的功能恢复.肥胖肥胖肥胖肥胖肥胖肥胖肥胖肥胖骨关节炎是一种关节炎.患者的选择患者的选择术后并发症术后并发症外科手术的结果.整体膝关节置换整体膝关节置换

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