DOI: 10.36347/sjams.2019.v07i02.026

Pages: 558-562

Malnutrition was common in orthopaedic patients and can have negative effects on outcomes, as studied in the hip, femoral and tibial fractures. The objective of the study was to know the effect of major elective orthopaedic surgery on the nutritional status of patients and to analyse how the nutritional markers behave pre op, post op and at 3 months follow up in patients undergoing elective orthopaedic surgery. This study was conducted at Department of orthopaedics, Government medical college, Nizambad, Telangana state. It includes 50 patients are of 20-60 years, with an mean age of 45.6 ±10.25years. Males were 27& females were 23. Diabetes was noticed in 11 patients and hypertension in 6 patients. The number of patients with BMI less than 20 (Undernourished) was only 10, and normal BMI in 22 and BM I more than 25 (overweight) was 18. The pre albumin and tranferrin at pre op, post op and follow up of the patients shows a significant difference between all three values. There was significant difference in the pattern of values in diabetics and when comparing the age groups and wound infection. Hypertension and gender did not reveal any significant difference in the pattern of values. Ten patients had wound related complications – 6 superficial wound infection and 4 deep infection. There was no association of BMI with the incidence of wound infection. Four patients had post-operative urinary tract infection. Prealbumin may be a better marker for the nutritional assessment.