[Treatment of malnutrition in total joint arthroplasty : Consensus statement of the Perioperative Management Committee of the German Society for Endoprosthetics].

Orthopadie (Heidelberg, Germany) Pub Date : 2025-02-01 Epub Date: 2025-01-14 DOI:10.1007/s00132-024-04603-6
Alexander C Paulus, Viktor Janz
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Abstract

Pre- and perioperative management of malnutrition is crucial for the success of hip and knee arthroplasties. Various studies indicate that malnutrition, particularly when associated with vitamin D deficiency, significantly increases the risk of postoperative complications such as periprosthetic fractures and infections, prolonged hospital stays, and higher mortality rates. Adequate preoperative nutritional intake, including vitamin D supplementation, can improve arthroplasty outcomes. Current literature emphasizes the importance of comprehensive nutritional optimization before surgery to minimize the risk of complications and promote recovery.

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[全关节置换术中营养不良的治疗:德国假肢学会围手术期管理委员会共识声明]。
术前和围手术期的营养不良管理对于髋关节和膝关节置换术的成功至关重要。多项研究表明,营养不良,尤其是伴有维生素 D 缺乏时,会显著增加术后并发症(如假体周围骨折和感染)、住院时间延长和死亡率升高的风险。充足的术前营养摄入,包括维生素 D 的补充,可以改善关节置换术的预后。目前的文献强调了术前全面营养优化对降低并发症风险和促进康复的重要性。
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Thrombophilia, hypofibrinolysis and osteonecrosis. [Perioperative antibiotic prophylaxis in obesity]. Intra-articular injections of hyaluronic acid versus plasma rich in growth factors (PRGF) for knee osteoarthritis: a meta-analysis of randomised controlled trials : A meta-analysis. [Surgical treatment strategies for periprosthetic femoral fractures of type Vancouver B]. [New technologies in total knee arthroplasty : Current concepts and personalized treatment strategies].
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