Operative management of acetabulum fractures in the obese patient: challenges and solutions
Neil R Sardesai, Michael A Miller, Julio J Jauregui, Cullen K Griffith, R Frank Henn 3rd, Jason W Nascone Department of Orthopedics, University of Maryland School of Medicine, Baltimore, MD, USA Abstract: In this review, we aim to increase our kn...
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doaj-8ae098d04da244388cb7a34299b2472d2020-11-25T00:03:03ZengDove Medical PressOrthopedic Research and Reviews1179-14622017-08-01Volume 9758134136Operative management of acetabulum fractures in the obese patient: challenges and solutionsSardesai NRMiller MAJauregui JJGriffith CKHenn RF 3rdNascone JWNeil R Sardesai, Michael A Miller, Julio J Jauregui, Cullen K Griffith, R Frank Henn 3rd, Jason W Nascone Department of Orthopedics, University of Maryland School of Medicine, Baltimore, MD, USA Abstract: 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. Keywords: hip fractures, obesity, BMI, morbidly obese, morbid obesity, diagnostic imaging, perioperative complications, functional outcomes, super-obesity, surgical comorbidities, cost, ORIF https://www.dovepress.com/operative-management-of-acetabulum-fractures-in-the-obese-patient-chal-peer-reviewed-article-ORRAcetabular fracturesObeseObese FracturesSurgical Management |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Sardesai NR Miller MA Jauregui JJ Griffith CK Henn RF 3rd Nascone JW |
spellingShingle |
Sardesai NR Miller MA Jauregui JJ Griffith CK Henn RF 3rd Nascone JW Operative management of acetabulum fractures in the obese patient: challenges and solutions Orthopedic Research and Reviews Acetabular fractures Obese Obese Fractures Surgical Management |
author_facet |
Sardesai NR Miller MA Jauregui JJ Griffith CK Henn RF 3rd Nascone JW |
author_sort |
Sardesai NR |
title |
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_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_sort |
operative management of acetabulum fractures in the obese patient: challenges and solutions |
publisher |
Dove Medical Press |
series |
Orthopedic Research and Reviews |
issn |
1179-1462 |
publishDate |
2017-08-01 |
description |
Neil R Sardesai, Michael A Miller, Julio J Jauregui, Cullen K Griffith, R Frank Henn 3rd, Jason W Nascone Department of Orthopedics, University of Maryland School of Medicine, Baltimore, MD, USA Abstract: 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. Keywords: hip fractures, obesity, BMI, morbidly obese, morbid obesity, diagnostic imaging, perioperative complications, functional outcomes, super-obesity, surgical comorbidities, cost, ORIF |
topic |
Acetabular fractures Obese Obese Fractures Surgical Management |
url |
https://www.dovepress.com/operative-management-of-acetabulum-fractures-in-the-obese-patient-chal-peer-reviewed-article-ORR |
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