دورية أكاديمية
A review of obesity and orthopaedic surgery: the critical issues.
| العنوان: | A review of obesity and orthopaedic surgery: the critical issues. |
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| المؤلفون: | Obalum DC; Department of Surgery State House Medical Centre, Aso Rock, Abuja Nigeria. Obalum1@yahoo.com, Fiberesima F, Eyesan SU, Ogo CN, Nzew C, Mijinyawa M |
| المصدر: | The Nigerian postgraduate medical journal [Niger Postgrad Med J] 2012 Sep; Vol. 19 (3), pp. 175-80. |
| نوع المنشور: | Journal Article; Review |
| اللغة: | English |
| بيانات الدورية: | Publisher: published by Wolters Kluwer-Medknow for the Nigerian Postgraduate Medical College of Nigeria Country of Publication: Nigeria NLM ID: 9613595 Publication Model: Print Cited Medium: Print ISSN: 1117-1936 (Print) NLM ISO Abbreviation: Niger Postgrad Med J Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: <2015- > : Mumbai : published by Wolters Kluwer-Medknow for the Nigerian Postgraduate Medical College of Nigeria Original Publication: Ebute Metta, Lagos, Nigeria : National Postgraduate Medical College of Nigeria, [1994- |
| مواضيع طبية MeSH: | Obesity*/complications , Obesity*/metabolism , Obesity*/physiopathology , Orthopedic Procedures*/adverse effects , Orthopedic Procedures*/methods, Musculoskeletal Diseases/*etiology , Musculoskeletal System/*metabolism, Body Mass Index ; Bone Density ; Humans ; Musculoskeletal Diseases/metabolism ; Musculoskeletal Diseases/physiopathology ; Musculoskeletal System/physiopathology ; Perioperative Care/adverse effects ; Perioperative Care/methods ; Postoperative Complications/etiology ; Postoperative Complications/physiopathology ; Postoperative Complications/therapy ; Risk Factors ; Treatment Outcome |
| مستخلص: | Obesity is a growing concern in the health community because of the morbidities associated with it. There is a higher occurrence of many orthopaedic conditions among obese individuals than their non-obese counter parts. Obesity also worsens the progression of many of these orthopaedic conditions. Studies have shown that obesity may have negative impact on bone metabolism and may be implicated in the pathophysiology of some orthopaedic conditions like osteoporosis, fractures, osteoarthritis and many soft tissue ailments by both reduction in bone mass and elaboration of proinflammatory cytokines. These contribute to preponderance of musculoskeletal co-morbidities among obese patients. Critical peri-operative issues which include increased cardiopulmonary risks, issues of special equipment, instrumentation, surgical approach, patients' positioning and adjustments in medication should be acknowledged and meticulously addressed in operative management of orthopaedic conditions in obese patients. Surgeries in obese patients are fraught with operative challenges and post-operative complications than in the non-obese and a good knowledge of the critical issues in surgical management of obese patients is necessary to facilitate decision making as well as rendering of effective and efficient orthopaedic care. |
| تواريخ الأحداث: | Date Created: 20121016 Date Completed: 20130701 Latest Revision: 20121015 |
| رمز التحديث: | 20221213 |
| PMID: | 23064175 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1117-1936 |
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