Management of femur shaft fractures in obese patients

Philipp N. Streubel, Michael J. Gardner, William M. Ricci

Research output: Contribution to journalReview article

6 Citations (Scopus)

Abstract

Given the ongoing epidemic of obesity, femoral fracture management in the population affected by this condition is likely to become more frequent. Fracture treatment in obese patients poses a special challenge given greater difficulty in establishing an accurate diagnosis and confirming associated injuries. Adequate intraoperative positioning and obtaining accurate reduction and stable fixation may require special considerations. Obese patients have a high predisposition for complications such as compartment syndrome, nerve injuries, and pressure ulcers, and are at increased risk for medical complications given the high prevalence of comorbidities. A thorough understanding of the risks associated with obesity and the diagnostic and therapeutic challenges involved with femoral shaft fractures in this setting is paramount to achieve adequate results.

Original languageEnglish (US)
Pages (from-to)21-35
Number of pages15
JournalOrthopedic Clinics of North America
Volume42
Issue number1
DOIs
StatePublished - Jan 1 2011

Fingerprint

Femoral Fractures
Femur
Obesity
Compartment Syndromes
Pressure Ulcer
Wounds and Injuries
Comorbidity
Therapeutics
Population

Keywords

  • Femur fracture
  • Intramedullary nailing
  • Obesity
  • Outcomes

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

Cite this

Management of femur shaft fractures in obese patients. / Streubel, Philipp N.; Gardner, Michael J.; Ricci, William M.

In: Orthopedic Clinics of North America, Vol. 42, No. 1, 01.01.2011, p. 21-35.

Research output: Contribution to journalReview article

Streubel, Philipp N. ; Gardner, Michael J. ; Ricci, William M. / Management of femur shaft fractures in obese patients. In: Orthopedic Clinics of North America. 2011 ; Vol. 42, No. 1. pp. 21-35.
@article{e3a6183c4c2d47ec8073c49e47f46265,
title = "Management of femur shaft fractures in obese patients",
abstract = "Given the ongoing epidemic of obesity, femoral fracture management in the population affected by this condition is likely to become more frequent. Fracture treatment in obese patients poses a special challenge given greater difficulty in establishing an accurate diagnosis and confirming associated injuries. Adequate intraoperative positioning and obtaining accurate reduction and stable fixation may require special considerations. Obese patients have a high predisposition for complications such as compartment syndrome, nerve injuries, and pressure ulcers, and are at increased risk for medical complications given the high prevalence of comorbidities. A thorough understanding of the risks associated with obesity and the diagnostic and therapeutic challenges involved with femoral shaft fractures in this setting is paramount to achieve adequate results.",
keywords = "Femur fracture, Intramedullary nailing, Obesity, Outcomes",
author = "Streubel, {Philipp N.} and Gardner, {Michael J.} and Ricci, {William M.}",
year = "2011",
month = "1",
day = "1",
doi = "10.1016/j.ocl.2010.07.004",
language = "English (US)",
volume = "42",
pages = "21--35",
journal = "Orthopedic Clinics of North America",
issn = "0030-5898",
publisher = "W.B. Saunders Ltd",
number = "1",

}

TY - JOUR

T1 - Management of femur shaft fractures in obese patients

AU - Streubel, Philipp N.

AU - Gardner, Michael J.

AU - Ricci, William M.

PY - 2011/1/1

Y1 - 2011/1/1

N2 - Given the ongoing epidemic of obesity, femoral fracture management in the population affected by this condition is likely to become more frequent. Fracture treatment in obese patients poses a special challenge given greater difficulty in establishing an accurate diagnosis and confirming associated injuries. Adequate intraoperative positioning and obtaining accurate reduction and stable fixation may require special considerations. Obese patients have a high predisposition for complications such as compartment syndrome, nerve injuries, and pressure ulcers, and are at increased risk for medical complications given the high prevalence of comorbidities. A thorough understanding of the risks associated with obesity and the diagnostic and therapeutic challenges involved with femoral shaft fractures in this setting is paramount to achieve adequate results.

AB - Given the ongoing epidemic of obesity, femoral fracture management in the population affected by this condition is likely to become more frequent. Fracture treatment in obese patients poses a special challenge given greater difficulty in establishing an accurate diagnosis and confirming associated injuries. Adequate intraoperative positioning and obtaining accurate reduction and stable fixation may require special considerations. Obese patients have a high predisposition for complications such as compartment syndrome, nerve injuries, and pressure ulcers, and are at increased risk for medical complications given the high prevalence of comorbidities. A thorough understanding of the risks associated with obesity and the diagnostic and therapeutic challenges involved with femoral shaft fractures in this setting is paramount to achieve adequate results.

KW - Femur fracture

KW - Intramedullary nailing

KW - Obesity

KW - Outcomes

UR - http://www.scopus.com/inward/record.url?scp=78649388186&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=78649388186&partnerID=8YFLogxK

U2 - 10.1016/j.ocl.2010.07.004

DO - 10.1016/j.ocl.2010.07.004

M3 - Review article

C2 - 21095432

AN - SCOPUS:78649388186

VL - 42

SP - 21

EP - 35

JO - Orthopedic Clinics of North America

JF - Orthopedic Clinics of North America

SN - 0030-5898

IS - 1

ER -