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Does the body mass index influence the long-term survival of unicompartmental knee prostheses? A retrospective multi-centre study

Published on Jun 1, 2019in International Orthopaedics2.384
· DOI :10.1007/s00264-018-4217-z
Saverio Affatato25
Estimated H-index: 25
,
Dalila Caputo2
Estimated H-index: 2
,
Barbara Bordini18
Estimated H-index: 18
Abstract
Purpose The effect of being obese on the long-term survival of total joint arthroplasty is persistently discussed. Considering only studies with large cohort of patients and meta-analysis, a high body mass index has been correlated with a higher incidence of complication but not univocally with a lower survival rate. In this study, we analyzed, retrospectively, the data of patients that received unicompartmental knee prostheses in order to examine if obesity has an effect on clinical outcomes.
  • References (30)
  • Citations (4)
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References30
Newest
#1Christopher Wilson (Flinders University)H-Index: 6
#2Kristen R. Georgiou (Flinders University)H-Index: 9
Last. Jeganath Krishnan (Flinders University)H-Index: 6
view all 6 authors...
© 2018 Prof. PK Surendran Memorial Education Foundation Purpose: This aim of this study was to evaluate the rate of surgical site infection (SSI) in patients undergoing Total Knee Arthroplasty (TKA), to improve our understanding of the associations between infection rate and obesity. Methods: Data was reviewed for 839 primary TKA procedures performed at a National Arthroplasty Centre over one year (April 2007–March 2008). SSI data was collected at 30 days and one year post-operatively. Patients ...
6 CitationsSource
#1Jared S. Bookman (NYU: New York University)H-Index: 2
#2Ran Schwarzkopf (NYU: New York University)H-Index: 22
Last. Ajit J. Deshmukh (NYU: New York University)H-Index: 11
view all 5 authors...
Obesity is an epidemic in the health care system. Obesity poses several challenges and raises unique issues for the arthroplasty surgeon. Obese patients are at higher risk for infection and dislocation. Additionally, obese patients have poorer implant survivorship and functional scores postoperatively. Obesity is a modifiable risk factor and weight loss preoperatively should be strongly considered. Obese patients must be counseled so that they have realistic expectations after total joint arthro...
3 CitationsSource
#1Adam I. Biener (AHRQ: Agency for Healthcare Research and Quality)H-Index: 5
#2John Cawley (Cornell University)H-Index: 43
Last. Chad D. Meyerhoefer (Lehigh University)H-Index: 16
view all 3 authors...
Background: The prevalence of obesity has risen dramatically in most countries of the world, and the economic consequences of obesity are not well understood. Methods: We analyzed data from the Medical Expenditure Panel Survey (MEPS) for 2001–2015 and estimated the percentage of healthcare costs that were associated with adult obesity, both for the US as a whole and for the most populous states. We also reviewed the literature on the impact of obesity on economic outcomes such as medical care co...
10 CitationsSource
#1Changjiang Wang (TUT: Taiyuan University of Technology)H-Index: 15
#2Yuan Guo (TUT: Taiyuan University of Technology)H-Index: 1
Last. Weiyi Chen (TUT: Taiyuan University of Technology)H-Index: 1
view all 4 authors...
Overweight and obesity increase risks of knee osteoarthritis, which is a major cause of disability. Severe knee osteoarthritis can be treated by knee arthroplasty. Total knee arthroplasty has been used in overweight and obese patients; however, clinical reports showed that the outcome of this group of patients was not good as normal-weight patients. Two computer models were created in this paper to simulate the effect of excess loads on the distal femoral bone and contact pressures in total knee...
1 CitationsSource
#1Shaoqi Tian (Qingdao University)H-Index: 8
#2Jiangjun Liu (Qingdao University)H-Index: 1
Last. Kang Sun (Qingdao University)H-Index: 8
view all 9 authors...
Objective The purpose of this study was to explore the midterm clinical outcomes of unicompartmental knee replacement (UKR) for medial knee arthropathy through a minimally invasive approach (MIA). Methods From January 2006 to June 2010, 442 consecutive patients (485 knees) were included in the study. All patients underwent MIA-UKR with the mobile bearing Oxford phrase III prosthesis. The incision was made starting 1 cm medial to the medial pole of the patella and extending distally to the tibial...
1 CitationsSource
#1Johannes F. Plate (Wake Forest University)H-Index: 15
#2Marco Andre Augart (Wake Forest University)H-Index: 2
Last. Gary G. Poehling (Wake Forest University)H-Index: 31
view all 8 authors...
Purpose Although obesity has historically been described as a contraindication to UKA, improved outcomes with modern UKA implant designs have challenged this perception. The purpose of this study was to assess the influence of obesity on the outcomes of UKA with a robotic-assisted system at a minimum follow-up of 24 months with the hypothesis that obesity has no effect on robotic-assisted UKA outcomes.
30 CitationsSource
#1Yew Lok WooH-Index: 4
Last. Seng Jin YeoH-Index: 27
view all 7 authors...
Obesity is a known major contributing risk factor for knee osteoarthritis (OA). It is also believed that obese unicompartmental knee arthroplasty (UKA) patients tend to have poorer outcome and poss...
9 CitationsSource
#1Mariachiara Di Cesare (Imperial College London)H-Index: 17
#2James Bentham (Imperial College London)H-Index: 13
Last. Julio Zuniga CisnerosH-Index: 8
view all 741 authors...
Background Underweight and severe and morbid obesity are associated with highly elevated risks of adverse health outcomes. We estimated trends in mean body-mass index (BMI), which characterises its population distribution, and in the prevalences of a complete set of BMI categories for adults in all countries. Methods We analysed, with use of a consistent protocol, population-based studies that had measured height and weight in adults aged 18 years and older. We applied a Bayesian hierarchical mo...
1,312 CitationsSource
#1Boydoyd Swinburn (Deakin University)H-Index: 70
#2William H. Dietz (GW: George Washington University)H-Index: 98
Last. Sabine KleinertH-Index: 18
view all 3 authors...
17 CitationsSource
#1Ying Ying Leung (NUS: National University of Singapore)H-Index: 21
#2John Carson Allen (NUS: National University of Singapore)H-Index: 20
Last. Woon-Puay Koh (NUS: National University of Singapore)H-Index: 28
view all 7 authors...
Summary Purpose Data on the association between body mass index (BMI) and risk of knee osteoarthritis (KOA) are sparse for Asian populations who are leaner than Western populations. We evaluated the association between BMI and risk of total knee replacement (TKR) due to severe KOA among Chinese in Singapore. Methods We used data from the Singapore Chinese Health Study (SCHS), a population-based prospective cohort of 63,257 Chinese men and women, aged 45–74 years at enrollment from 1993 to 1998. ...
21 CitationsSource
Cited By4
Newest
#1Jeries Hakim (BIU: Bar-Ilan University)H-Index: 1
#2Gershon Volpin (BIU: Bar-Ilan University)H-Index: 2
Last. Jamal Ownallah (BIU: Bar-Ilan University)H-Index: 1
view all 7 authors...
Introduction Patients with morbid obesity and advanced painful knee osteoarthritis are considered as poor candidates for total knee replacement. Our aims were to evaluate the outcomes of TKR surgery and the risks for post-operative complications in patients with morbid obesity (BMI > 40 kg/m2) as compared with obese patients (30 50 kg/m2); and to present some surgical tips which can improve the TKR outcomes in morbid obese patients.
2 CitationsSource
#1Daniel D. BohlH-Index: 23
#2Tad L. GerlingerH-Index: 10
Unicompartmental knee arthroplasty (UKA) can be complicated by early postoperative adverse events. With the improvement in UKA functional outcomes over the last decade, mitigating the risk for these events through optimization of the host has become a top surgical priority. Obesity, diabetes, malnutrition, atherosclerosis, tobacco use, intra-articular injections, and hypercoagulability represent seven areas with opportunities for intervention. Each is discussed here in terms of its epidemiology,...
Source
#1Andrea Tecame (Sapienza University of Rome)H-Index: 6
#2Roberto Savica (UNIME: University of Messina)H-Index: 1
Last. Paolo AdravantiH-Index: 4
view all 4 authors...
Purpose Unicompartmental knee arthroplasty (UKA) combined with anterior cruciate ligament (ACL) reconstruction has recently been suggested as a feasible treatment option for young and active patients with medial compartment osteoarthritis (OA) and ACL deficiency. The aim of this study is to evaluate retrospectively the outcomes of two different implant designs in patients with medial OA secondary to traumatic ACL rupture, who underwent combined ACL reconstruction and unicompartmental knee replac...
1 CitationsSource
#1Geert PeersmanH-Index: 1
#2Jeroen VerhaegenH-Index: 1
Last. Barbara FavierH-Index: 1
view all 3 authors...
Purpose The purpose of this study was to assess whether unicompartmental knee arthroplasty (UKA) results in better patient-reported and clinical outcome than total knee arthroplasty (TKA). The study hypothesis was UKA yields better patient-reported and clinical outcomes than TKA.
1 CitationsSource