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Operative management of acetabulum fractures in the obese patient: challenges and solutions

In this review, we aim to increase our knowledge of the treatment of acetabular fractures in the obese patient population. The extremely high incidence of obesity in the USA is a looming health care concern that impacts aspects of health care in all medical specialties. There are specific concerns t...

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Autores principales: Sardesai, Neil R, Miller, Michael A, Jauregui, Julio J, Griffith, Cullen K, Henn, R Frank, Nascone, Jason W
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6209371/
https://www.ncbi.nlm.nih.gov/pubmed/30774479
http://dx.doi.org/10.2147/ORR.S113424
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author Sardesai, Neil R
Miller, Michael A
Jauregui, Julio J
Griffith, Cullen K
Henn, R Frank
Nascone, Jason W
author_facet Sardesai, Neil R
Miller, Michael A
Jauregui, Julio J
Griffith, Cullen K
Henn, R Frank
Nascone, Jason W
author_sort Sardesai, Neil R
collection PubMed
description In this review, we aim to increase our knowledge of the treatment of acetabular fractures in the obese patient population. The extremely high incidence of obesity in the USA is a looming health care concern that impacts aspects of health care in all medical specialties. There are specific concerns to the orthopedic surgeon when treating obese patients for acetabular fracture. Patients with body mass index ≥30 present particular challenges to the surgeon in terms of preexisting medical conditions, diagnostic imaging, and perioperative complications. Specifically, this patient population experiences worse functional outcomes and greater incidence of surgical site infection, intraoperative blood loss, deep venous thrombosis, post-traumatic osteoarthritis, heterotopic ossification, and increased hospital length of stay. These problems are further exacerbated in the morbidly obese, as a scaling effect exists between increasing body mass index and worsening complication profile. This is problematic given the current high incidence of morbid obesity in the USA and particularly worrisome in light of the projected increase in obesity rates for the future.
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spelling pubmed-62093712019-02-15 Operative management of acetabulum fractures in the obese patient: challenges and solutions Sardesai, Neil R Miller, Michael A Jauregui, Julio J Griffith, Cullen K Henn, R Frank Nascone, Jason W Orthop Res Rev Review In this review, we aim to increase our knowledge of the treatment of acetabular fractures in the obese patient population. The extremely high incidence of obesity in the USA is a looming health care concern that impacts aspects of health care in all medical specialties. There are specific concerns to the orthopedic surgeon when treating obese patients for acetabular fracture. Patients with body mass index ≥30 present particular challenges to the surgeon in terms of preexisting medical conditions, diagnostic imaging, and perioperative complications. Specifically, this patient population experiences worse functional outcomes and greater incidence of surgical site infection, intraoperative blood loss, deep venous thrombosis, post-traumatic osteoarthritis, heterotopic ossification, and increased hospital length of stay. These problems are further exacerbated in the morbidly obese, as a scaling effect exists between increasing body mass index and worsening complication profile. This is problematic given the current high incidence of morbid obesity in the USA and particularly worrisome in light of the projected increase in obesity rates for the future. Dove Medical Press 2017-08-07 /pmc/articles/PMC6209371/ /pubmed/30774479 http://dx.doi.org/10.2147/ORR.S113424 Text en © 2017 Sardesai et al. This work is published and licensed by Dove Medical Press Limited The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed
spellingShingle Review
Sardesai, Neil R
Miller, Michael A
Jauregui, Julio J
Griffith, Cullen K
Henn, R Frank
Nascone, Jason W
Operative management of acetabulum fractures in the obese patient: challenges and solutions
title Operative management of acetabulum fractures in the obese patient: challenges and solutions
title_full Operative management of acetabulum fractures in the obese patient: challenges and solutions
title_fullStr Operative management of acetabulum fractures in the obese patient: challenges and solutions
title_full_unstemmed Operative management of acetabulum fractures in the obese patient: challenges and solutions
title_short Operative management of acetabulum fractures in the obese patient: challenges and solutions
title_sort operative management of acetabulum fractures in the obese patient: challenges and solutions
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6209371/
https://www.ncbi.nlm.nih.gov/pubmed/30774479
http://dx.doi.org/10.2147/ORR.S113424
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