Complications of Acetabular Fracture Surgery in Morbidly Obese Patients

作者：Scott E. Porter, George V. Russell, Robert C Dews, Zhen Qin, James Woodall, Matthew L. Graves · 发表于：Journal of Orthopaedic Trauma · 年份：2008 · DOI：10.1097/bot.0b013e318188d6c3 · 被引用次数：97 · 研究领域：Pelvic and Acetabular Injuries、Hip and Femur Fractures、Automotive and Human Injury Biomechanics

OBJECTIVES: To compare the early complications with operative treatment of acetabular fractures in morbidly obese (body mass index >or=40) patients when compared with all other patients. DESIGN: Retrospective review. SETTING: University medical center. PATIENTS/PARTICIPANTS: Four hundred thirty-five consecutive patients with acetabular fractures operatively treated by a single surgeon. Forty-one of these patients were morbidly obese (group 1) and were compared with the remaining patients (group 2). Group 2, therefore, included patients who were clinically overweight and obese. INTERVENTION: Operative repair of acetabular fracture. MAIN OUTCOME MEASUREMENTS: Outcome variables included patient positioning time, total operative time, estimated intraoperative blood loss, length of hospital stay, perioperative complications, and late complications. RESULTS: The average total operative time was 293 minutes for group 1 and 250 minutes (P = 0.008) for group 2. The hospital stay for group 1 averaged 26 days versus 15 days in group 2 (P < 0.01). There were 19 (46%) wound complications in group 1 compared with 49 (12%) in group 2 (P < 0.0001). Overall, there were complications in 26 of the 41 patients (63%) in group 1 and in 96 of the 394 patients (24%) in group 2. Group 1's relative risk of having a complication was 2.6 (95% confidence interval = 2.4-2.8) when compared with group 2. CONCLUSIONS: Our morbidly obese population had a statistically higher complication rate, longer operativ...