title: [A sizeable chance--surgical management of profound obesity concurrent with post-traumatic osteoarthrosis].
abstract: In times of plentiful nutrition an environmental advantage turns into a problem - obesity. Apart from an increase in morbidity and overall mortality the development of osteoarthrosis is well documented. Pre-arthrotic conditions may arise from trauma and can lead, depending on the pattern of injury, to full-blown arthrosis. The presence of obesity can play the role of a relevant progressive factor in this setting. Here we report about the case of an obese man (BMI 53.5 kg/m(2)), who suffered a fracture of the femoral head with acetabular participation (Pipkin IV) as well as a fracture of the tibial plateau. Operative management and rehabilitation were followed by gastric bypass surgery for weight reduction. The case is discussed with regard to the present literature.
authors.affiliation: BG-Unfallkrankenhaus, 21027, Bergedorfer Strasse 10, Hamburg, Germany. justus_gille@usa.net
authors.forename: J
authors.initials: J
authors.lastname: Gille
authors.forename: J
authors.initials: J
authors.lastname: Aberle
authors.forename: P
authors.initials: P
authors.lastname: Busch
authors.forename: O
authors.initials: O
authors.lastname: Mann
authors.forename: M
authors.initials: M
authors.lastname: Faschingbauer
authors.forename: C
authors.initials: C
authors.lastname: Jürgens
mesh_terms: D000328:Adult; D005264:Femoral Fractures / Q000209:etiology / Q000601:surgery*; D005598:Fractures, Spontaneous / Q000209:etiology / Q000601:surgery*; D015390:Gastric Bypass / Q000379:methods*; D006801:Humans; D008297:Male; D009767:Obesity, Morbid / Q000150:complications / Q000601:surgery*; D010003:Osteoarthritis / Q000150:complications / Q000601:surgery*; D013978:Tibial Fractures / Q000209:etiology / Q000601:surgery*; D016896:Treatment Outcome