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. 2023 Dec 6;105(23):1897-1906.
doi: 10.2106/JBJS.23.00259. Epub 2023 Oct 19.

Nutrition in Surgery: An Orthopaedic Perspective

Thomas M Zink  1   2 , Suzanne E Kent  1   2 , Arjun N Choudhary  2 , Joseph J Kavolus  2   3
Affiliations

Nutrition in Surgery: An Orthopaedic Perspective

Thomas M Zink et al. J Bone Joint Surg Am. .

Abstract

➤ Malnutrition is common among subsets of patients undergoing orthopaedic surgery and is associated with an increased risk of postoperative complications.➤ Serum proteins, in particular, albumin, may be used in the evaluation of nutritional status.➤ Anthropometric measurements and surveys also play a role in the evaluation of nutritional status.➤ Increased energy and nutrient requirements due to surgical procedures necessitate increased caloric and protein intake in the perioperative period, which may be achieved through diet or supplementation.➤ Evidence supports the use of protein-calorie, amino acid, and immunonutrition supplements. Vitamin D supplementation is an area of further consideration.➤ Diet restriction, activity alterations, pharmacotherapy, and bariatric surgery are all safe, effective approaches to weight loss, although the optimal timing and magnitude of preoperative weight loss require further investigation.

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Conflict of interest statement

Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article ( http://links.lww.com/JBJS/H730 ).

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