The Effect of Obesity on Achilles Rupture Repair
| Autor: | Jonathan Kaplan, Niall A. Smyth, Neil Mohile, Jeffery Hillam, Amiethab Aiyer |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty 030204 cardiovascular system & hematology Achilles Tendon Young Adult 03 medical and health sciences Postoperative Complications 0302 clinical medicine Risk Factors Humans Medicine Orthopedic Procedures Orthopedics and Sports Medicine Obesity Podiatry Retrospective Studies Rupture Surgical repair 030222 orthopedics Achilles tendon business.industry Wound dehiscence Postoperative complication Retrospective cohort study Perioperative Middle Aged medicine.disease Comorbidity Surgery medicine.anatomical_structure Orthopedic surgery Female business |
| Zdroj: | Foot & Ankle Specialist. 12:503-512 |
| ISSN: | 1938-7636 1938-6400 |
| Popis: | Introduction. Obesity is an increasingly common comorbidity that may negatively affect outcomes following orthopaedic surgery. It is valuable to determine whether obese patients are vulnerable for postoperative complications. The purpose of this study was to analyze data from the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) to determine the effect of obesity on surgical treatment of Achilles tendon ruptures. Methods. Patients who underwent a surgical repair of the Achilles tendon were retrospectively identified through the ACS NSQIP. The patients were divided into 2 cohorts (obese and nonobese), then perioperative and postoperative factors were evaluated for association with obesity. Results. A total of 2128 patients were identified, of whom 887 (41.7%) were classified as obese. Obesity correlated with an increased operative time, 60.9 versus 56.1 minutes. The only postoperative complication associated with obesity was wound dehiscence. Logistic regression adjusted for comorbid conditions demonstrated that obesity was not associated with an increased risk of wound dehiscence. Conclusion. A large segment of the patient population undergoing Achilles tendon repair is obese. Obesity was found to have an increased association with wound dehiscence, likely related to comorbid conditions, following Achilles tendon repair. Obesity was not significantly associated with any other complication. Levels of Evidence: III, Retrospective Cohort Study |
| Databáze: | OpenAIRE |
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