Bariatric Surgery Prior to Total Knee Arthroplasty is Associated With Fewer Postoperative Complications

被引：76

作者：

Werner, Brian C. ^{[1
]}

Kurkis, Gregory M. ^{[1
]}

Gwathmey, F. Winston ^{[1
]}

Browne, James A. ^{[1
]}

机构：

[1] Univ Virginia Hlth Syst, Dept Orthopaed Surg, Charlottesville, VA 22908 USA

来源：

JOURNAL OF ARTHROPLASTY | 2015年 / 30卷 / 09期

关键词：

total knee arthroplasty; bariatric surgery; postoperative complications; DVT; infection; TOTAL HIP; OBESITY;

D O I：

10.1016/j.arth.2014.11.039

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

This study used a national database to compare 90 day postoperative complication rates between three groups of patients who underwent total knee arthroplasty (TKA): (1) non-obese patients (n = 66,523), (2) morbidly obese patientswho did not have bariatric surgery (n = 11,294) and (3) morbidly obese patientswho underwent bariatric surgery prior to TKA (n= 219). Morbidly obese patients who underwent bariatric surgery prior to TKA had reduced rates of major (OR 0.45, P = 0.001) and minor (OR 0.61, P = 0.01) complications compared to morbidly obese patients who did not have bariatric surgery. Bariatric surgery prior to TKA appears to be associated with less risk of postoperative complications, although not to the same level as non-obese patients. (C) 2015 Elsevier Inc. All rights reserved.

引用

页码：81 / 85

页数：5

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