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Obesity and orthopedic surgery, or else do mechanical complications of obesity exist?


Authors: Štěpán Svačina
Published in: Vnitř Lék 2015; 61(6): 571-573
Category:

Předneseno na mezioborovém sympoziu s postgraduálním zaměřením „Diabetik – společný pacient diabetologa a ortopeda“ 10. října 2014 v Hradci Králové

Overview

Arthroses of weight-bearing joints and vertebrogenic problems are characteristic diseases of the obese. However the extreme risk is associated in particular with the combination with metabolic syndrome. Arthroses of bearing joints thus do not only present a mechanical complication of obesity, but also a metabolic complication. Similarly, the risk of venous thromboembolism which involves all orthopedic surgeries, is associated with both a rising BMI and hormonal condition (use of hormones and the like.). A joint replacement surgery can be typically performed on patients with a weight of up to 90 kg or BMI below 30. A preparation aimed at decreasing BMI to reach these values significantly reduces the risk of postoperative complications. However it is also necessary for the patient to maintain the reduced weight.

Key words:
diabetes mellitus – knee joint replacement – hip joint replacement – mechanical complications of obesity – metabolic complications of obesity – metabolic syndrome – obesity – surgery related risk – venous tromboembolizmus


Sources

1. Svačina Š. Obezitologie a teorie metabolického syndromu. Praha: Triton 2013. ISBN 978–80–7387–678–4.

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3. Svačina Š et al. Metabolický syndrom. Praha: Triton 2006. ISBN 80–7254–782–8.

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Labels
Diabetology Endocrinology Internal medicine

Article was published in

Internal Medicine

Issue 6

2015 Issue 6

Most read in this issue
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