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Obesity: Orthopaedics and Trauma Surgery

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Obesity

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Abstract

In 2014, the Global Health Observatory estimated 12.9 % of the World population as obese. Worldwide, 2.8 million people die every year from the complications of obesity. In 2008, the prevalence of obesity was almost double that of 1980. Obesity is a genuine concern for the orthopedic surgeon, as it affects bones and soft tissues at the biomechanical and biochemical level. In traumatology, low-energy trauma is more frequent in obese patients and induces complex comminuted fractures of the extremities. In orthopedics, obesity is an independent risk factor for osteoarthritis, particularly for the knee joint. The goals of this chapter are to describe specific aspect of the care of obese patients in trauma and orthopedics surgery during the pre-, intra- and postoperative periods, as well as the risk-benefit ratio related to the treatment of the obese patients.

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References

  1. OMS | Obésité [Internet]. WHO. Available from: http://www.who.int/topics/obesity/fr/.

  2. Obesity Surgery, The Journal of Metabolic Surgery and Allied Care ISSN: 0960-8923 (Print) 1708-0428 (Online) http://link.springer.com/journal/11695.

  3. Parratte S, Pesenti S, Argenson J-N. Obesity in orthopedics and trauma surgery. Orthop Traumatol Surg Res. 2014;100:S91–7.

    Article  CAS  PubMed  Google Scholar 

  4. Grotle M, Hagen KB, Natvig B, Dahl FA, Kvien TK. Obesity and osteoarthritis in knee, hip and/or hand: an epidemiological study in the general population with 10 years follow-up. BMC Musculoskelet Disord. 2008;9:132–7.

    Article  PubMed Central  PubMed  Google Scholar 

  5. Conde J, Scotece M, Lopez V, Gomez R, Lago F, Pino J, et al. Adipokines: novel players in rheumatic diseases. Discov Med. 2013;15(81):73–83.

    PubMed  Google Scholar 

  6. Berry PA, Jones SW, Cicuttini FM, Wluka AE, Maciewicz RA. Temporal relationship between serum adipokines, biomarkers of bone and cartilage turnover, and cartilage volume loss in a population with clinical knee osteoarthritis. Arthritis Rheum. 2011;63:700–7.

    Article  CAS  PubMed  Google Scholar 

  7. Labounty TM, Gomez MJ, Achenbach S, Al-Mallah M, Berman DS, Budoff MJ, et al. Body mass index and the prevalence, severity, and risk of coronary artery disease: an international multicentre study of 13,874 patients. Eur Heart J Cardiovasc Imaging. 2013;14:456–63.

    Article  PubMed Central  PubMed  Google Scholar 

  8. Richter M, Trzeciak T, Owecki M, Pucher A, Kaczmarczyk J. The role of adipocytokines in the pathogenesis of knee joint osteoarthritis. Int Orthop. 2015;39(6):1211–7.

    Article  PubMed  Google Scholar 

  9. Guillemin F, Rat AC, Mazieres B, Pouchot J, Fautrel B, Euller-Ziegler L, et al. Prevalence of symptomatic hip and knee osteoarthritis: a two-phase population-based survey. Osteoarthritis Cartilage. 2011;19:1314–22.

    Article  CAS  PubMed  Google Scholar 

  10. Reyes C, Garcia-Gil M, Elorza JM, Mendez-Boo L, Hermosilla E, Javaid MK, et al. Socio-economic status and the risk of developing hand, hip or knee osteoarthritis: a region-wide ecological study. Osteoarthritis Cartilage. 2015;23(8):1323–9.

    Article  CAS  PubMed  Google Scholar 

  11. Emery C, Dinet J, Lafuma A, Sermet C, Khoshnood B, Fagnani F. Cost of obesity in France. Presse Med. 2007;36:832–40.

    Article  PubMed  Google Scholar 

  12. Bradley BM, Griffiths SN, Stewart KJ, Higgins GA, Hockings M, Isaac DL. The effect of obesity and increasing age on operative time and length of stay in primary hip and knee arthroplasty. J Arthroplasty. 2014;29:1906–10.

    Article  PubMed  Google Scholar 

  13. http://www.mpsi-sante.fr.

  14. Modica MJ, Kanal KM, Gunn ML. The obese emergency patient: imaging challenges and solutions. Radiographics. 2011;31:811–23.

    Article  PubMed  Google Scholar 

  15. Sabharwal S, Root MZ. Impact of obesity on orthopaedics. J Bone Joint Surg Am. 2012;94:1045–52.

    PubMed  Google Scholar 

  16. Illes T, Somoskeoy S. The EOS imaging system and its uses in daily orthopaedic practice. Int Orthop. 2012;36:1325–31.

    Article  PubMed Central  PubMed  Google Scholar 

  17. Hoeffel DP. Patient-specific instrumentation for the obese patient. Am J Orthop (Belle Mead NJ). 2014;43(3 Suppl):S9–13.

    Google Scholar 

  18. Domi R, Laho H. Anesthetic challenges in the obese patient. J Anesth. 2012;26:758–65.

    Article  PubMed  Google Scholar 

  19. Jamsen E, Nevalainen P, Eskelinen A, Huotari K, Kalliovalkama J, Moilanen T. Obesity, diabetes, and preoperative hyperglycemia as predictors of periprosthetic joint infection: a single-center analysis of 7181 primary hip and knee replacements for osteoarthritis. J Bone Joint Surg Am. 2012;94(14):e101.

    Article  PubMed  Google Scholar 

  20. Berrington de Gonzalez A, Hartge P, Cerhan JR, Flint AJ, Hannan L, MacInnis RJ, et al. Body-mass index and mortality among 1.46 million white adults. N Engl J Med. 2010;363:2211–9.

    Article  CAS  PubMed  Google Scholar 

  21. Kim WH, Lee JH, Ko JS, Ahn HJ, Park SK, Gwak MS, et al. The effect of body mass index on spinal anaesthesia for total knee replacement arthroplasty: a dose–response study. Anaesth Intensive Care. 2012;40:410–6.

    CAS  PubMed  Google Scholar 

  22. Suleiman LI, Ortega G, Ong’uti SK, Gonzalez DO, Tran DD, Onyike A, et al. Does BMI affect perioperative complications following total knee and hip arthroplasty? J Surg Res. 2012;174(1):7–11.

    Article  PubMed  Google Scholar 

  23. Samama C-M, Gafsou B, Jeandel T, Laporte S, Steib A, Marret E, et al. French society of anaesthesia and intensive care. Guidelines on perioperative venous thromboembolism prophylaxis. Update 2011. Short text. Ann Fr Anesth Reanim. 2011;30:947–51.

    Article  PubMed  Google Scholar 

  24. Lobstein T, Jackson-Leach R, Moodie ML, Hall KD, Gortmaker SL, Swinburn BA, et al. Child and adolescent obesity: part of a bigger picture. Lancet. 2015;385(9986):2510–20. doi:10.1016/S0140-6736(14)61746-3.

    Article  PubMed Central  PubMed  Google Scholar 

  25. Sabharwal S, Zhao C, McClemens E. Correlation of body mass index and radiographic deformities in children with Blount disease. J Bone Joint Surg Am. 2007;89:1275–83.

    Article  PubMed  Google Scholar 

  26. Lazar-Antman MA, Leet AI. Effects of obesity on pediatric fracture care and management. J Bone Joint Surg Am. 2012;94:855–61.

    Article  PubMed  Google Scholar 

  27. Zhang AL, Exner GU, Wenger DR. Progressive genu valgum resulting from idiopathic lateral distal femoral physeal growth suppression in adolescents. J Pediatr Orthop. 2008;28:752–6.

    Article  CAS  PubMed  Google Scholar 

  28. Nasreddine AY, Heyworth BE, Zurakowski D, Kocher MS. A reduction in body mass index lowers risk for bilateral slipped capital femoral epiphysis. Clin Orthop. 2013;471:2137–44.

    Article  PubMed Central  PubMed  Google Scholar 

  29. Upasani VV, Caltoum C, Petcharaporn M, Bastrom T, Pawelek J, Marks M, et al. Does obesity affect surgical outcomes in adolescent idiopathic scoliosis? Spine. 2008;33(3):295–300.

    Article  PubMed  Google Scholar 

  30. Lee RJ, Hsu NN, Lenz CM, Leet AI. Does obesity affect fracture healing in children? Clin Orthop. 2013;471:1208–13.

    Article  PubMed Central  PubMed  Google Scholar 

  31. Jones CB. Management of upper extremity injuries in obese patients. Orthop Clin North Am. 2011;42:11–9. v.

    Article  PubMed  Google Scholar 

  32. Streubel PN, Gardner MJ, Ricci WM. Management of femur shaft fractures in obese patients. Orthop Clin North Am. 2011;42(1):21–35.

    Article  PubMed  Google Scholar 

  33. Sems SA, Johnson M, Cole PA, Byrd CT, Templeman DC. Elevated body mass index increases early complications of surgical treatment of pelvic ring injuries. J Orthop Trauma. 2010;24:309–14.

    Article  PubMed  Google Scholar 

  34. Graves ML, Porter SE, Fagan BC, Brien GA, Lewis MW, Biggers MD, et al. Is obesity protective against wound healing complications in pilon surgery? Soft tissue envelope and pilon fractures in the obese. Orthopedics. 2010;33.

    Google Scholar 

  35. Neuhaus V, Swellengrebel CHJ, Bossen JKJ, Ring D. What are the factors influencing outcome among patients admitted to a hospital with a proximal humeral fracture? Clin Orthop. 2013;471:1698–706.

    Article  PubMed Central  PubMed  Google Scholar 

  36. Warrender WJ, Brown OL, Abboud JA. Outcomes of arthroscopic rotator cuff repairs in obese patients. J Shoulder Elbow Surg. 2011;20:961–7.

    Article  PubMed  Google Scholar 

  37. Linberg CJ, Sperling JW, Schleck CD, Cofield RH. Shoulder arthroplasty in morbidly obese patients. J Shoulder Elbow Surg. 2009;18:903–6.

    Article  PubMed  Google Scholar 

  38. Inacio MCS, Kritz-Silverstein D, Paxton EW, Fithian DC. Do patients lose weight after joint arthroplasty surgery? A systematic review. Clin Orthop. 2013;471:291–8.

    Article  PubMed Central  PubMed  Google Scholar 

  39. Severson EP, Singh JA, Browne JA, Trousdale RT, Sarr MG, Lewallen DG. Total knee arthroplasty in morbidly obese patients treated with bariatric surgery: a comparative study. J Arthroplasty. 2012;27:1696–700.

    Article  PubMed Central  PubMed  Google Scholar 

  40. Boisgard S, Descamps S, Bouillet B. Complex primary total hip arthroplasty. Orthop Traumatol Surg Res. 2013;99(1 Suppl):S34–42.

    Article  CAS  PubMed  Google Scholar 

  41. McCalden RW, Charron KD, MacDonald SJ, Bourne RB, Naudie DD. Does morbid obesity affect the outcome of total hip replacement?: an analysis of 3290 THRs. J Bone Joint Surg Br. 2011;93:321–5.

    Article  CAS  PubMed  Google Scholar 

  42. Gupta A, Redmond JM, Hammarstedt JE, Stake CE, Domb BG. Does obesity affect outcomes in hip arthroscopy? A matched-pair controlled study with minimum 2-year follow-up. Am J Sports Med. 2015;43:965–71.

    Article  PubMed  Google Scholar 

  43. Lozano LM, Segur JM, Macule F, Nunez M, Torner P, Castillo F, et al. Intramedullary versus extramedullary tibial cutting guide in severely obese patients undergoing total knee replacement: a randomized study of 70 patients with body mass index >35 kg/m2. Obes Surg. 2008;18:1599–604.

    Article  CAS  PubMed  Google Scholar 

  44. Parratte S, Pagnano MW, Trousdale RT, Berry DJ. Effect of postoperative mechanical axis alignment on the fifteen-year survival of modern, cemented total knee replacements. J Bone Joint Surg Am. 2010;92:2143–9.

    Article  PubMed  Google Scholar 

  45. Goldstein ZH, Yi PH, Haughom BD, Hellman MD, Levine BR. Bilateral extensor mechanism disruption after total knee arthroplasty in two morbidly obese patients. Orthopedics. 2015;38:e443–6.

    Article  PubMed  Google Scholar 

  46. Bin Abd Razak HR, Chong HC, Tan AHC. Obesity does not imply poor outcomes in Asians after total knee arthroplasty. Clin Orthop. 2013;471:1957–63.

    Article  PubMed Central  PubMed  Google Scholar 

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The authors declare that they have no conflicts of interest concerning this article.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Institute for Locomotion, Aix-Marseille University, UMR CNRS 787/AMU, 270 Boulevard Saint Marguerite, BP29, Marseille, 13274, France

    Louis Dagneaux, Sébastien Parratte, Matthieu Ollivier & Jean-Noël Argenson

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  1. Louis Dagneaux
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  2. Sébastien Parratte
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  3. Matthieu Ollivier
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  4. Jean-Noël Argenson
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Correspondence to Sébastien Parratte .

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Editors and Affiliations

  1. School of Science and Technology, Nottingham Trent University, Nottingham, United Kingdom

    Shamim I. Ahmad

  2. Al Mouwasat Hospital, Jubail, Saudi Arabia

    Syed Khalid Imam

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Dagneaux, L., Parratte, S., Ollivier, M., Argenson, JN. (2016). Obesity: Orthopaedics and Trauma Surgery. In: Ahmad, S., Imam, S. (eds) Obesity. Springer, Cham. https://doi.org/10.1007/978-3-319-19821-7_19

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  • DOI: https://doi.org/10.1007/978-3-319-19821-7_19

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-19820-0

  • Online ISBN: 978-3-319-19821-7

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