Endoprosthesis and obesity.

Med Arch

School of Medicine, University of Banja Luka, Bosnia and Herzegovina.

Published: December 2013

Introduction: Obesity represents a significant risk factor in the pathophysiology of degenerative changes in coxarthrosis.

Objective: The study aims to investigate obesity as a risk factor in the examined sample comprising 136 patients who underwent hip endoprothesis implantation.

Material And Methods: The series comprised 136 patients with a hip endoprosthesis implanted, where the patients' BMI, amount of blood used, duration of surgery, number of assistants, and type of anaesthesia were observed. Wounds and late post-operative complications, infections, haemorrhage, vein thrombosis, endoprosthesis dislocations, length of inpatient stay, start of physical therapy and full weight-bearing were also observed. The observation period lasted six months on average.

Discussion: In simple terms, the three greatest factors when implanting a hip endoprosthesis are as follows: properties of the endoprosthesis, the orthopaedic surgeon's skill and experience, and individual characteristics of the patient, i.e. age, sex, health condition, body weight, BMI, adequate physical therapy.

Conclusion: We believe that the implantation of a hip endoprosthesis should be postponed for patients with a BMI exceeding 29.99. Such patients should receive endocrine treatment, they should undergo a weight loss programme in order to reduce their body weight and in order to reduce their BMI to under 29.99.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4272480PMC
http://dx.doi.org/10.5455/medarh.2013.67.446-449DOI Listing

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