FEATURES OF PRIMARY TOTAL HIP ARTHROPLASTY IN PATIENTS WITH OBESITY


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Abstract

The authors conducted a retrospective study of 1885 patients who had undergone primary total hip arthroplasty. The patients with normal body weight were 63.9%; varying obesity was present in 36.1% (39.4% of women and 31.7% of men). In the obese patients, the treatment results were lower, and the number of complications was 2-3 times greater than that in normal weight patients, which requires their preparation for postoperative treatment of obesity.

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About the authors

Lyu I

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Email: drgaamma@gmail.com

A. V Lychagin

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Email: drgaamma@gmail.com
MD

A. A Gritsyuk

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Email: drgaamma@gmail.com
Professor, MD

S. M Smetanin

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Email: drgaamma@gmail.com
MD

References

  1. Giusti V. Obésité: épidémiologie, implications socio-politiques et prise en charge de type conventionnelle // Therapeutische Umschau. - 2019; 76: 117-21. https://doi.org/10.1024/0040-5930/a001071.
  2. Алексеева Л.И., Наумов А.В. Ведение остеоартрита с коморбидностью в общей врачебной практике (клинические рекомендации) // Доктор.ру. - 2017; 5 (134): 51-69
  3. George J., Klika A., Navale S. et al. Obesity Epidemic: Is Its Impact on Total Joint Arthroplasty Underestimated? An Analysis of National Trends // Clin. Orthopaed. Relat. Res. - 2017; 475 (7): 1798-806. 10.1007/s11999-016-5222-4' target='_blank'>https://doi: 10.1007/s11999-016-5222-4.
  4. Шубняков И.И., Тихилов Р.М., Николаев Н.С. и др. Эпидемиология первичного эндопротезирования тазобедренного сустава на основании данных регистра артропластики РНИИТО им. Р.Р. Вредена // Травматология и ортопедия России. - 2017; 23 (2): 81-101 doi: 10.21823/2311-2905-2017-23-2-81-101.
  5. Ахтямов И.Ф., Хань Хао Чжи, Файзрахманова Г.М. и др. Артропластика тазобедренного сустава у пациентов с ожирением (метаанализ проспективных когортных исследований) // Травматология и ортопедия России. - 2019; 25 (1): 177-87 doi: 10.21823/2311-2905-2019-25-1-177-187.
  6. OECD (2015), Hip and knee replacement. Health at a Glance 2015: OECD Indicators, OECD Publishing. URL: http://www.oecd-ilibrary.org/docserver/download/
  7. Norwegian Hip Arhtroplasty Register Annual Report 2015. URL: http:// nrlweb.ihelse.net/Rapporter/Report2015_ english.pdf
  8. Руководство по хирургии тазобедренного сустава. Под ред. Тихилова Р.М., Шубнякова И.И. / СПб: РНИИТО им. Р.Р. Вредена, 2014; Т. 1: 368 с. (стр. 208)
  9. Мурылев В.Ю., Елизаров П.М., Рукин Я.А. и др. Эндопротезирование тазобедренного сустава как возможность улучшения качества жизни пациентов старческого возраста с ложным суставом шейки бедренной кости // Успехи геронтологии. - 2017; 30 (5): 725-32
  10. Jeschke E., Citak M., Günster C. et al. Obesity increases the risk of postoperative complications and revision rates following primary total hip arthroplasty: an analysis of 131,576 total hip arthroplasty cases // J. Arthroplasty. - 2018; 33 (7): 2287-92. doi: 10.1016/j.arth.2018.02.036.
  11. Kee J., Mears S., Edwards P. et al. Modifiable risk factors are common in early revision hip and knee arthroplasty // J. Arthroplasty. - 2017; 32 (12): 3689-92. doi: 10.1016/j.arth.2017.07.005.
  12. Craik J., Bircher M., Rickman M. Hip and knee arthroplasty implants contraindicated in obesity // Ann. R. Coll. Surg. Engl. - 2016; 98 (5): 295-99. doi: 10.1308/rcsann.2016.0103.
  13. Liu W., Wahafu T., Cheng M. et al. The influence of obesity on primary total hip arthroplasty outcomes: a meta-analysis of prospective cohort studies // Orthop. Traumatol. Surg. Res. - 2015; 101: 289-96. DOI: 10.1016/j. otsr.2015.01.011.
  14. Harris W. Traumatic arthritis of the hip after dislocation and acetabular fractures treatment by mold arthroplasty // J. Bone Jt. Surg. - 1969; 51-A: 737-55.
  15. Health Surveys - SF-36v2™. URL: http://www.sf-36.org/

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