[Ortho] Противопоказания к эндопротезированию

[Sereda Andrey]

Уважаемый коллеги! Впервые слышу о том, что ожирение 3 степени - 
противопоказание для эндопротезирования вообще и тазобедренного сустава 
в частности. Не поделитесь источником?

J Bone Joint Surg Br. 2012 Nov;94(11 Suppl A):100-2. doi: 
10.1302/0301-620X.94B11.30619.
The influence of obesity on total joint arthroplasty.
Vasarhelyi EM, MacDonald SJ.
Source
Division of Orthopaedic Surgery, London Health Sciences Centre, 
University Hospital, 339 Windermere Road, London, Ontario N6A 5A5, Canada.
Abstract
Obesity is an epidemic across both the developed and developing nations 
that is possibly the most important current public health factor 
affecting the morbidity and mortality of the global population. Obese 
patients have the potential to pose several challenges for arthroplasty 
surgeons from the standpoint of the influence obesity has on 
osteoarthritic symptoms, their peri-operative medical management, the 
increased intra-operative technical demands on the surgeon, the intra- 
and post-operative complications, the long term outcomes of total hip 
and knee arthroplasty. Also, there is no consensus on the role the 
arthroplasty surgeon should have in facilitating weight loss for these 
patients, nor whether obesity should affect the access to arthroplasty 
procedures.
Sereda Andrey

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