Journal ArticleDOI
Obesity and total joint arthroplasty. A literature based review
D. Bryan,Javad Parvizi,Matthew S. Austin,Henry Backe,Craig J. Della Valle,David J. Kolessar,Stefan Kreuzer,Rob Malinzak,Bassam A. Masri,Brian J. McGrory,David Mochel,Adolph J. Yates +11 more
TLDR
A workgroup of total joint arthroplasty surgeons from the American Association of Hip and Knee Surgeons (AAHKS) was tasked with identifying key questions regarding obesity as discussed by the authors.Abstract:
The prevalence of obesity in the population is unlikely to decline, and is likely to contribute to the increasing demand for hip or knee arthroplasty. Conflicting data exist on the risk and benefits of total joint arthroplasty in obese patients. The purpose of this manuscript is to define and identify areas of concern for obese patients undergoing total joint arthroplasty. A workgroup of total joint arthroplasty surgeons from the American Association of Hip and Knee Surgeons (AAHKS) was tasked with identifying key questions regarding obesity and total joint arthroplasty. The workgroup evaluated the available literature and sought to create a review regarding obesity and total joint arthroplasty to complement and guide the surgeon-patient discussion in addition to identifying areas of future research.read more
Citations
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Journal ArticleDOI
Prevention of VTE in orthopedic surgery patients
Federico Spandonaro,Rossella Letizia Mancusi,Lorenzo Terranova,Diana Giannarelli,Paolo Grossi,Davide Imberti,Emilio Mazza +6 more
TL;DR: A model of budget impact, in the perspective of the Italian NHS, is built from the data related to cases of major surgical orthopedic procedures and a meta-analysis on the pivotal RCT, which aims to measure the differential effects in terms of prevention of VTE, showing that the financial impact of the NOA in the prophylaxis of major Orthopedic surgery is not particularly relevant.
Journal ArticleDOI
Obesity and osteoarthritis
TL;DR: It is found that despite slower initial recovery and possibly lower functional scores and implant survival in the longer term, obese patients can still benefit from TKA in terms of improved function, quality of life and satisfaction.
Journal ArticleDOI
Direct anterior approach for total hip arthroplasty: indications, technique, and results.
TL;DR: The direct anterior approach to the hip was initially described in the 19th century and has been used sporadically for total hip arthroplasty (THA), but enthusiasm for the approach has been renewed because of increased demand for minimally invasive techniques.
Journal ArticleDOI
Knee Osteoarthritis: A Primer
TL;DR: The prevalence, causes and associated risk factors, symptoms, diagnosis and classification, and treatment options, including treatment options for knee osteoarthritis are described.
Journal ArticleDOI
The John Insall Award: Morbid obesity independently impacts complications, mortality, and resource use after TKA
TL;DR: The independent impact of morbid obesity appears to be fairly modest, and morbid obesity did not appear to be an independent risk factor for many systemic complications.
References
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Journal ArticleDOI
Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030.
TL;DR: These large projected increases in demand for total hip and knee arthroplasties provide a quantitative basis for future policy decisions related to the numbers of orthopaedic surgeons needed to perform these procedures and the deployment of appropriate resources to serve this need.
Journal ArticleDOI
Prevalence of Obesity and Trends in the Distribution of Body Mass Index Among US Adults, 1999-2010
TL;DR: In 2009-2010, the prevalence of obesity was 35.5% among adult men and 35.8% amongadult women, with no significant change compared with 2003-2008, and trends in BMI were similar to obesity trends.
Journal ArticleDOI
National, regional, and global trends in body-mass index since 1980: systematic analysis of health examination surveys and epidemiological studies with 960 country-years and 9·1 million participants
Mariel M. Finucane,Gretchen A Stevens,Melanie J. Cowan,Goodarz Danaei,John K Lin,Christopher J. Paciorek,Gitanjali M Singh,Hialy R. Gutierrez,Yuan Lu,Adil N. Bahalim,Farshad Farzadfar,Leanne M Riley,Majid Ezzati +12 more
TL;DR: In this paper, the authors estimated trends and their uncertainties of mean BMI for adults 20 years and older in 199 countries and territories, and used a Bayesian hierarchical model to estimate mean BMI by age, country, and year.
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Prevention of VTE in Nonsurgical Patients: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines
Yngve Falck-Ytter,Charles W. Francis,Norman A. Johanson,Catherine Curley,Ola E. Dahl,Sam Schulman,Thomas L. Ortel,Stephen G. Pauker,Clifford W. Colwell +8 more
TL;DR: In this article, the authors focus on optimal prophylaxis to reduce postoperative pulmonary embolism and DVT following major orthopedic surgery, and suggest the use of low-molecular-weight heparin in preference to the other agents we have recommended as alternatives.
Journal ArticleDOI
Prevention of VTE in Orthopedic Surgery Patients
Yngve Falck-Ytter,Charles W. Francis,Norman A. Johanson,Catherine Curley,Ola E. Dahl,Sam Schulman,Thomas L. Ortel,Stephen G. Pauker,Clifford W. Colwell +8 more
TL;DR: Optimal strategies for thromboprophylaxis after major orthopedic surgery include pharmacologic and mechanical approaches.