scholarly journals Bariatric Orthopaedics: Impact of Obesity on Total Knee Replacement

2020 ◽  
Author(s):  
Ahsan Butt ◽  
Muhammad Zain-ur-Rehman ◽  
Adeel Nawab ◽  
Ahmad Hafeez ◽  
Ali Amjad
Keyword(s):  
Body Mass Index ◽  
Patient Satisfaction ◽  
Total Knee Replacement ◽  
Range Of Motion ◽  
Body Mass ◽  
Knee Replacement ◽  
Osteoarthritis Of The Knee ◽  
Significant Difference ◽  
Total Knee ◽  
The Impact

Abstract Introduction: Total knee replacement is a reliable operation for reducing pain and improving function in severe osteoarthritis of the knee. As incidence of obesity is increasing worldwide, there is a debate about the role of Body Mass Index (BMI) in selection of patients requiring total knee replacement. The aim of the study was to evaluate the impact of body mass index on total knee replacement in terms of post-operative improvement in knee range of motion, patient satisfaction and complications.Material and methods: Out of 175 patients who suffered from advance knee osteoarthritis and were candidates for primary total knee replacement from January 2016 to March 2018, 155 patients fit the inclusion criteria. Group 1 included 66 patients who were overweight and class 1 obese while group 2 included 89 patients who were class 2 and 3 obese according to WHO Body Mass Index classification. All patients underwent total knee replacement according to the hospital guidelines. Pre and post-operative range of motion, patient satisfaction and complications were assessed and documented. Results: There was no statistically significant difference in improvements in post-operative knee range of motion between the two groups up to 2 years of follow up. [Mann-Whitney U test p= 0.069]. Similarly, Mann-Whitney U test showed that there is no significant difference between patient satisfaction levels (SF-12 scores) of the two groups (p= 0.09). Conclusion: There is no significant impact of obesity on outcomes after total knee replacement and BMI should not be used as a factor in selecting patients who qualify for total knee replacement.Level of Evidence: Level III

scholarly journals Assessment of functional mobility and body mass index among patients with a total knee replacement: a retrospective study in Indian population

2019 ◽  
Vol 5 (4) ◽  
pp. 687
Author(s):  
Nagendra Gowtham Rayudu Yelamarthi ◽  
Raghu Yelavarthi ◽  
Rajashekhar Tati
Keyword(s):  
Body Mass Index ◽  
Total Knee Replacement ◽  
Outcome Measures ◽  
Body Mass ◽  
Knee Replacement ◽  
Functional Mobility ◽  
Functional Reach ◽  
Single Leg Stance ◽  
Total Knee

<p class="abstract"><strong>Background:</strong> Obesity is associated with an increased risk of osteoarthritis, and the incidence of obese patients requiring a total knee replacement (TKR) has increased in recent years. A high body mass index (BMI) may influence post‐TKR rehabilitation outcomes. The aim of the present study was to assess the effects of obesity on functional mobility outcomes following post‐TKR rehabilitation in Asian patients where BMI was not as high as those reported in similar studies performed other countries other than Asian.</p><p class="abstract"><strong>Methods:</strong> A total of 100 patients were categorized as normal weight (n=11), overweight (n=10), class I obese (n=28), or class II obese (n=32), class III obese (n=19). Patients were retrospectively followed up for 6 months after undergoing TKR followed by 2 months of active rehabilitation. Outcome measures were recorded at baseline and at the 2‐month and 6‐month follow-up assessments and included the Western Ontario and McMaster Universities Osteoarthritis Index and the following tests: functional reach, single‐leg stance, ten‐meter walk, timed up and go, chair rise, and stair climbing.<strong></strong></p><p class="abstract"><strong>Results:</strong> A 4×3 (group×time) repeated‐measures analysis of variance showed significant improvement in all of the outcome measures for all of the BMI groups at the 2‐month and 6‐month follow-up assessments (p&lt;0.05 for all). No significant intergroup differences at the 2‐month and 6‐month follow-up assessments were observed for any of the mobility measures except the functional reach and single‐leg stance (p&lt;0.05).</p><p class="abstract"><strong>Conclusions:</strong> Patients with class II/III obesity benefit from early post‐TKR outpatient rehabilitation and respond well. Also, the patients with lower BMIs showed significant improvements and patients with a high BMI might require additional balance-based exercises in their post-TKR rehabilitation protocols.</p>

The Effects of Patient Occupation, Hobbies, and Body Mass Index on Kneeling after Total Knee Arthroplasty

2019 ◽  
Author(s):  
Karim G. Sabeh ◽  
Victor H. Hernandez ◽  
Wayne B. Cohen-Levy ◽  
Alvin Ong ◽  
Fabio Orozco ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Total Knee Arthroplasty ◽  
Body Mass ◽  
Knee Arthroplasty ◽  
Univariate Analysis ◽  
Substantial Impact ◽  
Significant Difference ◽  
Patient Reported ◽  
Total Knee ◽  
The Impact

AbstractA common patient concern after total knee arthroplasty (TKA) is the ability to kneel. Kneeling may have a substantial impact on the patients' ability to perform many activities of daily living, occupations, and hobbies. The purpose of this study was to quantify the percentage of patients able to kneel after TKA after 2 years and to evaluate preoperative patient characteristics that influence the patient's perceived ability to kneel after TKA such as obesity, occupation, and hobbies. We retrospectively assessed a cohort of 404 patients who underwent primary TKA with patellar resurfacing. We assessed the impact of patient hobbies, occupation, employment status, and body mass index (BMI) on the kneeling capacity and patient-reported satisfaction. Univariate analysis was performed using Fisher's exact test, and multivariate analysis was performed using logistic regression with multiple imputations. A total of 404 patients were included. Sixty percent of patients were unable to kneel after TKA. Males (p < 0.001) and patients with occupations or hobbies requiring kneeling (p < 0.05) were more likely to kneel after surgery. We identified an inverse relationship between BMI and the ability to kneel. No correlation was found between duration and frequency of kneeling relative to patient-reported ease or difficulty with kneeling. Patient-reported factors that prevented patients from kneeling were pain, physical inability, and fear of damaging the prosthesis. Patient education may be helpful in improving patient expectations about kneeling after surgery. A small but significant difference in subjective patient satisfaction was observed when comparing patients able to kneel with those unable to kneel.

scholarly journals Influence of Body Mass Index (BMI) on Functional Improvements at 3 Years Following Total Knee Replacement: A Retrospective Cohort Study

PLoS ONE ◽  
2013 ◽  
Vol 8 (3) ◽  
pp. e59079 ◽  
Author(s):  
Paul Baker ◽  
Karthikeyan Muthumayandi ◽  
Craig Gerrand ◽  
Benjamin Kleim ◽  
Karen Bettinson ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Cohort Study ◽  
Total Knee Replacement ◽  
Body Mass ◽  
Knee Replacement ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Total Knee

scholarly journals Enhanced recovery programmes can reduce length of stay after total knee replacement without sacrificing functional outcome at one year

2015 ◽  
Vol 97 (8) ◽  
pp. 563-567 ◽  
Author(s):  
JF Maempel ◽  
PJ Walmsley
Keyword(s):  
Length Of Stay ◽  
Total Knee Replacement ◽  
Range Of Motion ◽  
Functional Outcome ◽  
Knee Replacement ◽  
Enhanced Recovery ◽  
District General Hospital ◽  
Significant Difference ◽  
Total Knee ◽  
One Year

Introduction Enhanced recovery programmes (ERPs) are being widely adopted in total knee replacement (TKR) procedures but studies confirming that they have no adverse effects on functional outcomes are lacking. The aim of this study was to compare length of stay, postoperative functional outcome and range of motion at one year postoperatively between patients undergoing TKR with an ERP and those with traditional rehabilitation. Methods A total of 165 consecutive patients undergoing primary unilateral TKR were included in the study. Overall, 84 patients undergoing TKR with an ERP were compared with a series of 81 patients undergoing primary unilateral TKR with traditional rehabilitation, immediately before the introduction of the ERP. Results The median postoperative length of stay was 3 days in the ERP cohort and 4 in the traditionally rehabilitated cohort (p<0.001). There were no significant differences in the preintervention characteristics of the groups and there was no significant difference in operative time, transfusion or rates of manipulation under anaesthesia. There was no difference in magnitude of improvement in American Knee Society score (p=0.12) or range of motion (p=0.81) between the groups. Conclusions ERP can reduce length of stay after TKR while offering improvements in knee function equivalent to those experienced by patients undergoing TKR with traditional rehabilitation. Furthermore, ERP can be implemented successfully in the setting of a district general hospital.

scholarly journals Body mass index as a predictor of outcome in total knee replacement

2001 ◽  
Vol 25 (4) ◽  
pp. 246-249 ◽  
Author(s):  
D. Spicer ◽  
D. Pomeroy ◽  
W. Badenhausen ◽  
Jr L. Schaper ◽  
J. Curry ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Total Knee Replacement ◽  
Body Mass ◽  
Knee Replacement ◽  
Total Knee

scholarly journals Role of body mass index on total knee replacement rehabilitation and outcome

2020 ◽  
Vol 4 (4) ◽  
pp. 41-43
Author(s):  
Dr. Seelam Narasimha Reddy ◽  
Dr. Buggaveeti Goutham ◽  
Dr. Yadlapalli Venkatesh
Keyword(s):  
Body Mass Index ◽  
Total Knee Replacement ◽  
Body Mass ◽  
Knee Replacement ◽  
Total Knee
Sign in / Sign up

Export Citation Format

Share Document