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致病性肥胖患者的膝关节关节镜检查:手术期间的挑战和技术考虑,以优化结果
M R Abinav1, A K Sanjay1, Vignesh Murali1
1Department of Arthroscopy and Sports Medicine, Centre for Sports Science, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India.
Journal of orthopaedic case reports
|February 11, 2026
概括
患有病态肥胖症的患者接受关节镜膝关节手术时面临着独特的挑战. 然而,通过特定的调整,可以实现显著的功能改善,提高手术安全性和结果.
科学领域:
- 整形外科手术 整形外科手术
- 肥胖医学 肥胖医学
- 麻醉学 麻醉学
背景情况:
- 肥胖是一个日益严重的全球健康问题,显著影响膝关节的健康.
- 致病性肥胖患者在关节镜膝关节手术中存在独特的周围手术挑战,可能会影响安全性和结果.
研究的目的:
- 为了确定关键的周围手术挑战在关节镜膝关节手术病态肥胖患者.
- 在这个高危人群中描述安全有效的关节镜术的实际适应方法.
主要方法:
- 对50名患有致病性肥胖症的患者 (BMI ≥35 kg/m2) 进行关节镜膝关节手术的回顾性审查 (2021年1月至2024年12月).
- 对人口统计数据,并发症,麻醉/术内适应和功能结果 (Tegner-Lysholm评分) 的分析.
主要成果:
- 平均BMI为40.23±6.67kg/m2;最常见的是前十字带手术 (44%).
- 在19个月的随访中,Tegner-Lysholm分数从手术前的65.44分大幅改善到术后的85.26分 (P < 0.001).
- 关键的挑战包括麻醉,患者定位,门户放置,关节操纵和康复.
结论:
- 在患有病态肥胖症的患者中,关节镜膝关节手术是可行的,并产生了实质性的功能收益.
- 预测和解决外科手术和麻醉修改的术后挑战对于成功至关重要.
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