4 insights on the measure that predicts wound complications after pelvic, acetabular stabilization better than BMI


A waist hip ratio surrogate is more predictive of wound complications after pelvis or acetabulum stabilization than body mass index, according to a study in the Journal of Orthopaedic Trauma.

 Here are four things to know:


1. The authors retrospectively reviewed 161 patients in a level 1 trauma center following pelvic and acetabulur fracture operative repair. The primary outcome assessed was any wound complication.


2. The authors found BMI information from medical records. WHR was derived from anteroposterior and lateral CT scout images.


3. BMI was grouped into high risk categories of greater than or equal to 30 kilograms per square meter and greater than or equal to 40 kilograms per square meter. WHR data were grouped using the World Health Organization's high risk profile for females — greater than 0.85 — and males — greater than 0.90. An alternative optimal WHR was also assessed.


4. Increased BMI and female sex were associated with wound complications, but the WHR surrogate was better able to predict wound complications than BMI.


More articles on orthopedics:

Medical City Children's Hospital appoints Dr. Shyam Kishan as medical director of pediatric orthopedics, trauma: 4 things to know

What major challenges does the orthopedic field face? Dr. Augusto Sarmiento weighs in

Orthopedic surgeon to know: Dr. Frank Noyes of Cincinnati SportsMedicine & Orthopaedic Center

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