{"title":"Nutritional Prehabilitation in the Orthopaedic Trauma Patient","authors":"Katherine L. Shumate , Ivan S. Tarkin","doi":"10.1016/j.oto.2024.101133","DOIUrl":null,"url":null,"abstract":"<div><div>Nutrition is a modifiable factor which should be optimized in the surgical patient. Peri-operative programs, such as “Strong for Surgery”, identify patients with protein malnutrition and provide resources for adequate feeding in the peri-operative period. The Orthopaedic Trauma patient benefits from this approach to encourage surgical wound healing, avoidance of septic complication, uneventful bone union, and successful rehabilitation. Acute Orthopaedic injuries requiring prompt intervention should be assessed for protein malnutrition and receive supplementation when necessary postoperatively. Patients with peri-articular fracture managed staged or for post-traumatic cases, nutrition should be assessed preoperatively and addressed prior to definitive surgical reconstruction.</div></div>","PeriodicalId":45242,"journal":{"name":"Operative Techniques in Orthopaedics","volume":null,"pages":null},"PeriodicalIF":0.2000,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Operative Techniques in Orthopaedics","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1048666624000429","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
引用次数: 0
Abstract
Nutrition is a modifiable factor which should be optimized in the surgical patient. Peri-operative programs, such as “Strong for Surgery”, identify patients with protein malnutrition and provide resources for adequate feeding in the peri-operative period. The Orthopaedic Trauma patient benefits from this approach to encourage surgical wound healing, avoidance of septic complication, uneventful bone union, and successful rehabilitation. Acute Orthopaedic injuries requiring prompt intervention should be assessed for protein malnutrition and receive supplementation when necessary postoperatively. Patients with peri-articular fracture managed staged or for post-traumatic cases, nutrition should be assessed preoperatively and addressed prior to definitive surgical reconstruction.
营养是一个可调节的因素,应优化手术患者的营养状况。围手术期计划(如 "Strong for Surgery")可识别蛋白质营养不良的患者,并提供资源,以便在围手术期提供充足的食物。创伤骨科患者可以从这种方法中获益,促进手术伤口愈合,避免化脓性并发症,使骨结合顺利进行并成功康复。需要及时干预的急性骨科创伤患者应进行蛋白质营养不良评估,必要时在术后补充蛋白质。对于分期治疗的关节周围骨折患者或创伤后病例,应在术前对营养进行评估,并在最终手术重建前解决营养问题。
期刊介绍:
Operative Techniques in Orthopaedics is an innovative, richly illustrated resource that keeps practitioners informed of significant advances in all areas of surgical management. Each issue of this atlas-style journal explores a single topic, often offering alternate approaches to the same procedure. Its current, definitive information keeps readers in the forefront of their specialty.