Endoprosthesis and Obesity

Grubor, Predrag; Manojlović, Slavko; Manojlovic, Nemanja; Grubor, Milan

doi:10.5455/medarh.2013.67.446-449

Cited by 5 publications

(6 citation statements)

References 16 publications

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“…revision is most often caused by mechanical complications related to the prostheses, including loosening and infections, and the incidence of complications increases with aggravating factors such as age, obesity or diabetes that increases the risk of infection [7]. According to data from 2015, most surgeries were performed in patients aged 60-69 and 70-79, accounting for 58% of all treatments [7,9].…”

Section: Data Justifying the Need For Personalization Of Rehabilitatimentioning

confidence: 99%

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Personalized rehabilitation therapy in obese and elderly patients undergoing hip replacement surgery

Skalski¹,

Socha-Kania²,

Kozioł-Montewka³

et al. 2019

hpc

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Authors' contribution Wkład autorów: A. Study design/planning zaplanowanie badań B. Data collection/entry zebranie danych C. Data analysis/statistics dane-analiza i statystyki D. Data interpretation interpretacja danych E. Preparation of manuscript przygotowanie artykułu F. literature analysis/search wyszukiwanie i analiza literatury G. Funds collection zebranie funduszy Summary Due to aging of the population and the desire of people to maintain the best possible mobility, the demand for hip replacement is increasing. As a result, personalization of physical therapy after surgery is needed to achieve the best possible outcomes. However, patients undergoing hip replacement surgery often have additional factors, such as advanced age and obesity, which may hinder the process of rehabilitation. The aim of this study was to review the need and recommendations for personalized physical therapy before and after hip replacement surgery in patients with co-morbid factors such as advanced age and obesity. The research literature emphasizes the importance of effective recovery following hip replacement surgery. Older patients may require prolonged postoperative rehabilitation due to the type of surgery, muscle weakness or cognitive dysfunction. Proprioception and balance disorders may benefit from training on an unstable surface aimed at learning safe falling and getting up after a fall. Weakened gluteal muscles which may be present in the elderly and obese may benefit from strength training in the preoperative period. Excessive exposure of the elderly and obese to thromboembolic complications necessitate the inclusion in rehabilitation programs of exercises based on active ankle movement.

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Section: Data Justifying the Need For Personalization Of Rehabilitatimentioning

confidence: 99%

“…Numerous research studies have focused on obesity as a contributor to degeneration of the hip and to postoperative complications. The estimated number of patients with obesity varies in research studies from 41% to 77% [5,9,10,11,12].…”

Section: Data Justifying the Need For Personalization Of Rehabilitatimentioning

confidence: 99%

Personalized rehabilitation therapy in obese and elderly patients undergoing hip replacement surgery

Skalski¹,

Socha-Kania²,

Kozioł-Montewka³

et al. 2019

hpc

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“…Obesity represents a risk factor for the development of general and pathophysiological degenerative changes and coxarthrosis [201]. Knee dislocation in morbidly obese patients may induce immediate severe pain and late complications [202] [203].…”

Section: Proven Usefulness Of Ketamine In Obese Patientsmentioning

confidence: 99%

Role and Advantageousness of Ketamine in Obese and Non-Obese Patients: Peri-Interventional Considerations

Amit

2018

JPT

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Obese and morbidly obese patients are a growing group of individuals that generates medical, social and economicproblems worldwide. They undergo various interventions that require anesthesia and/or analgesia. Despite theirhealthy look, these individuals are graded at high ASA physical status, mainly because of their impaired respiratoryand cardiovascular conditions, and the metabolic changes their body undergoes. Opioids are the default drugsfor perioperative analgesia. Nevertheless, their use has reached a frightening epidemic-like condition worldwide.Multimodal analgesia regimens have been recommended as a perioperative standard of care, particularly useful in theobese. These regimens employ combinations of opioids and non-opioid compounds that reciprocate each analgesicpotencies, thus providing superior pain relief at rest, movement, or on effort, while reducing opioid consumption andtheir concerned adverse effects. The most important perioperative IV adjuvant currently employed is ketamine thatsees resurgence among physicians from diverse medical specialties. After summarizing obese patients’ perioperativedrawbacks, this review will illustrate ketamine’s neuropharmacology, and will describe its therapeutic usefulness asan analgesic adjuvant. Since data regarding the use of the drug in obese patients is scarce, brief exemplifications ofits benefits in non-obese cohorts will be portrayed as well.

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“…By relieving the wrist, the liquid is absorbed back into the matrix. 1,2 With increased loading on the joint, the quality of hyaline articular cartilage decreases. Increased body weight in people produces disproportion between the matrix quality and mechanical loading.…”

Section: Introductionmentioning

confidence: 99%

“…The loss of tolerance of articular cartilage leads to bursting of collagen fibers in the matrix and the release of enzymes that dismantle the matrix progressively. 2 Arthrosis is divided into primary and secondary. Degenerative processes in primary arthrosis appear and usually progress due to disproportion between the loading and the possibility of bearing these loadings.…”

Section: Introductionmentioning

confidence: 99%

Influence of Obesity on the Progression of Knee and Hip Arthrosis

Grubor¹,

Grubor²,

Biščević³

et al. 2015

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Introduction: Hip and knee joints represent a simple functional construction composed of strong, durable material. They enable the person to make everyday, long-range and painless leg movements. Obesity progressively accelerates the arthrosis, and subsequently, the dysfunction of joints.The aim of the study: The aim of this study is to, within the test sample of 52 patients, establish the influence of obesity on the progression of primary knee and hip arthrosis. Subjects and methods:The paper represents a retrospective -prospective analysis of data on the obesity of 52 subjects. 30 patients with primary coxarthrosis, mean age 56.90 ± 6.22 (46-70 years), were treated with endoprothesis. The survey and medical record review showed that, due to primary coxarthrosis, 22 patients (76%) were treated with endoprothesis. An average BMI of 25-29.99 (13.10 ± 2.86 years) was established in the aforementioned patients. In 22 patients, mean age 50.32 ± 7.32 (40-66 years), gonarthrosis was treated with endoprosthesis,. The survey and medical record review showed that 18 patients (81.4%) with primary gonarthrosis had and average BMI of 25-29.99 in adolescence.Results: In the analysis, patients treated with endoprosthesis due to primary gonarthrosis, had I 0 obesity at the average age of 19.86 ± 2.30 (17-26 years). At primary coxarthrosis, I 0 obesity was present at the average age of 22.27 ± 4.83 (17-36 years). II 0 obesity was present in patients treated for primary gonarthrosis at the average age of 47.60 ± 6.65 years, and in coxarthrosis, at the average age of 54.38 ± 5.57 years. Conclusion:All patients had been pre-obese since their childhood. With the increase of BMI, primary hip and knee arthrosis progressed.

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Endoprosthesis and Obesity

Cited by 5 publications

References 16 publications

Personalized rehabilitation therapy in obese and elderly patients undergoing hip replacement surgery

Personalized rehabilitation therapy in obese and elderly patients undergoing hip replacement surgery

Role and Advantageousness of Ketamine in Obese and Non-Obese Patients: Peri-Interventional Considerations

Influence of Obesity on the Progression of Knee and Hip Arthrosis

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