[Operative management and fracture care of the lower leg with the Ilizarov fixator in morbidly obese patients: literature review and results].
Given the rising prevalence of obesity, surgeons and hospitals must become more familiar with the treatment and operative management of obese patients. Several additional pre- and postoperative considerations must be involved such as appropriate assessment of comorbidities and requirements for special equipment. There are still very few data regarding morbidly obese patients with BMIs >50 kg/m(2). After a general literature review of operative management of obese patients, we report on fracture care of the lower limb in such patients with custom-made Ilizarov ring fixators. We found them suited to bear enormous weight-loading but that associated comborbidities can limit successful fracture care.
Gessmann
J
J
Chirurgische Klinik und Poliklinik, Berufsgenossenschaftliche Kliniken Bergmannsheil, Ruhr-Universität Bochum, Bükle-de-la-Camp-Platz 1, 44789, Bochum, Deutschland. jangessmann@gmx.de
Seybold
D
D
Baecker
H
H
Muhr
G
G
Graf
M
M
D000328:Adult; D000368:Aged; D016512:Ankle Injuries / Q000175:diagnosis / Q000601:surgery; D001174:Arthrodesis / Q000379:methods; D015992:Body Mass Index; D017760:Bone Malalignment / Q000175:diagnosis / Q000601:surgery; D004867:Equipment Design; D004865:Equipment and Supplies, Hospital; D005260:Female; D005593:Fracture Fixation, Internal; D006305:Health Status Indicators; D017052:Hospital Mortality; D006801:Humans; D018889:Ilizarov Technique / Q000295:instrumentation*; D008279:Magnetic Resonance Imaging / Q000295:instrumentation; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000150:complications* / Q000503:physiopathology*; D009873:Operating Rooms; D011182:Postoperative Care / Q000379:methods; D011183:Postoperative Complications / Q000209:etiology / Q000401:mortality / Q000601:surgery; D011300:Preoperative Care / Q000379:methods; D011542:Pseudarthrosis / Q000209:etiology / Q000601:surgery; D012086:Reoperation; D013978:Tibial Fractures / Q000175:diagnosis / Q000601:surgery*; D014057:Tomography, X-Ray Computed / Q000295:instrumentation
Operatives Management und Frakturversorgung der unteren Extremität bei morbider Adipositas : Literaturübersicht und Erfahrungen mit dem Ilizarov-Ringfixateur.