Seminars in Arthroplasty
Volume 18, Issue 4 , Pages 272-279 , December 2007

Two-Incision Hip Replacement in the Morbidly Obese Patient

  • Dana C. Mears, MD, PhD

      Affiliations

    • Greater Pittsburgh Orthopedic Associates, Pittsburgh, PA.
    • ,
  • Simon C. Mears, MD, PhD

      Affiliations

    • Department of Orthopaedic Surgery, The Johns Hopkins University/Johns Hopkins Bayview Medical Center, Baltimore, MD.
    • Corresponding Author InformationAddress reprint requests to Simon C. Mears, MD, PhD, c/o Elaine P. Henze, BJ, ELS, Department of Orthopaedic Surgery, Johns Hopkins Bayview Medical Center, 4940 Eastern Avenue, A672, Baltimore, MD 21224-2780.
    • ,
  • Jacques E. Chelly, MD, PhD, MBA

      Affiliations

    • Departments of Anesthesiology and Orthopaedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA.

References 

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  5. Naik G. Surgeons’ weighty dilemma: Wary of extra risk, work, some doctors won’t replace knees, hips of obese patients. Wall St J (East Ed). 2006;28:B1;February
  6. Namba RS, Paxton L, Fithian DC, et al. Obesity and perioperative morbidity in total hip and total knee arthroplasty patients. J Arthroplasty. 2005;20:46–50
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  11. Bal BS, Haltom D, Aleto T, et al. Early complications of primary total hip replacement performed with a two-incision minimally invasive technique. J Bone Joint Surg Am. 2005;87:2432–2438
  12. Berger RA. Total hip arthroplasty using the minimally invasive two-incision approach. Clin Orthop Relat Res. 2003;417:232–241
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  14. Aderinto J, Brenkel IJ, Chan P. Weight change following total hip replacement: A comparison of obese and non-obese patients. Surgeon. 2005;3:269–272
  15. Heisel C, Silva M, dela Rosa MA, et al. The effects of lower-extremity total joint replacement for arthritis on obesity. Orthopedics. 2005;28:157–159
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  17. Kushner RF, Noble CA. Long-term outcome of bariatric surgery: An interim analysis. Mayo Clin Proc. 2006;81:S46–S51
  18. Parvizi J, Trousdale RT, Sarr MG. Total joint arthroplasty in patients surgically treated for morbid obesity. J Arthroplasty. 2000;15:1003–1008
  19. Harrison MM, Childs A, Carson PE. Incidence of undiagnosed sleep apnea in patients scheduled for elective total joint arthroplasty. J Arthroplasty. 2003;18:1044–1047
  20. Netzer NC, Stoohs RA, Netzer CM, et al. Using the Berlin Questionnaire to identify patients at risk for the sleep apnea syndrome. Ann Intern Med. 1999;131:485–491
  21. Apfel CC, Korttila K, Abdalla M, et al. A factorial trial of six interventions for the prevention of postoperative nausea and vomiting. N Engl J Med. 2004;350:2441–2451
  22. Tsen LC, Hepner DL. Needles used for spinal anesthesia. Expert Rev Med Devices. 2006;3:499–508
  23. Ben-David B, Frankel R, Arzumonov T, et al. Minidose bupivacaine–fentanyl spinal anesthesia for surgical repair of hip fracture in the aged. Anesthesiology. 2000;92:6–10
  24. Arfvidsson B, Eklof B, Balfour J. Iliofemoral venous pressure correlates with intraabdominal pressure in morbidly obese patients. Vasc Endovascular Surg. 2005;39:505–509
  25. Mantilla CB, Horlocker TT, Schroeder DR, et al. Risk factors for clinically relevant pulmonary embolism and deep venous thrombosis in patients undergoing primary hip or knee arthroplasty. Anesthesiology. 2003;99:552–560
  26. Abou-Nukta F, Alkhoury F, Arroyo K, et al. Clinical pulmonary embolus after gastric bypass surgery. Surg Obes Relat Dis. 2006;2:24–28
  27. Sugerman HJ, Wolfe LG, Sica DA, et al. Diabetes and hypertension in severe obesity and effects of gastric bypass-induced weight loss. Ann Surg. 2003;237:751–756disc 757-758
  28. Pomposelli JJ, Baxter JK, Babineau TJ, et al. Early postoperative glucose control predicts nosocomial infection rate in diabetic patients. J Parenter Enteral Nutr. 1998;22:77–81
  29. Eckel RH, Grundy SM, Zimmet PZ. The metabolic syndrome. Lancet. 2005;365:1415–1428
  30. Scott SK, Rabito FA, Price PD, et al. Comorbidity among the morbidly obese: A comparative study of 2002 U.S. hospital patient discharges. Surg Obes Relat Dis. 2006;2:105–111
  31. Gupta RM, Parvizi J, Hanssen AD, et al. Postoperative complications in patients with obstructive sleep apnea syndrome undergoing hip or knee replacement: A case-control study. Mayo Clin Proc. 2001;76:897–905
  32. Parikh SN, Stuchin SA, Maca C, et al. Sleep apnea syndrome in patients undergoing total joint arthroplasty. J Arthroplasty. 2002;17:635–642
  33. Gross JB, Bachenberg KL, Benumof JL, et al. Practice guidelines for the perioperative management of patients with obstructive sleep apnea: A report by the American Society of Anesthesiologists Task Force on Perioperative Management of patients with obstructive sleep apnea. Anesthesiology. 2006;104:1081–1093

PII: S1045-4527(07)00064-8

doi: 10.1053/j.sart.2007.09.011

Seminars in Arthroplasty
Volume 18, Issue 4 , Pages 272-279 , December 2007

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