Does body weight influence outcome after total knee arthroplasty? A 1-year analysis

Does body weight influence outcome after total knee arthroplasty? A 1-year analysis
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DOI:
10.1054/arth.2002.30776
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发表时间:
2002-04-01
影响因子:
3.5
通讯作者:
Pinder, IM
Pinder, IM
中科院分区:
医学2区
文献类型:
--
作者:
Deshmukh, RG;Hayes, JH;Pinder, IM

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肥胖一直被认为是对全膝关节置换术(TKA)结果的不利影响,超重患者通常被建议不要进行全膝关节置换术。使用客观的结果衡量标准,体重的作用还没有得到确凿的证明。对180例骨性关节炎患者进行了前瞻性研究,这些患者均由一名外科医生进行全膝关节置换术。记录他们的基线健康状况和膝关节评分,并在术后3个月和12个月研究这些指标的变化。诺丁汉健康档案被用来评估健康状况,膝关节协会评分被用来评估临床结果。体重指数被用作肥胖的衡量标准。我们发现体重在短期内不会对全膝关节置换术的结果产生负面影响。
Obesity has been considered an adverse influence on the outcome of total knee arthroplasty (TKA), and overweight patients often are advised against having a TKA. The role of body weight has not been shown conclusively using objective outcome measures. A group of 180 patients undergoing primary TKA performed by a single Surgeon for osteoarthritis was studied prospectively. Their baseline health status and knee scores were recorded, and changes in these measures were studied at 3 and 12 months after surgery. The Nottingham Health Profile was used to assess health status, and the Knee Society score was used to assess clinical outcome. Body mass index was used as a measure of obesity. We found that body weight did not influence adversely the Outcome of TKA in the short-term.