BACKGROUND:In Asia, obesity has reached epidemic proportions and physicians are likely to face a burden of obesity-related disorders, of which osteoarthritis of the knee is one. However, it is unclear whether obesity affects improvement of conventional TKAs in Asian patients. PURPOSE:We therefore asked whether obese patients with a BMI of 30 kg/m(2) or greater would have worse ROM and function after TKA compared with their nonobese counterparts and whether they would have less improvement preoperatively to postoperatively. METHODS:We retrospectively reviewed 369 patients who underwent TKAs from 2006 to 2010. We stratified patients into four groups: (1) 98 patients with BMIs less than 25 kg/m(2); (2) 158 patients with BMIs between 25 kg/m(2) and 29.9 kg/m(2); (3) 87 patients with BMIs between 30 kg/m(2) and 34.9 kg/m(2); and (4) 26 patients with BMIs greater than 35 kg/m(2). We then compared ROM, function score, Knee Society score, Oxford Knee Questionnaire, and SF-36 questionnaire(®) across the four groups at 6- and 12-month follow-ups. RESULTS:At the 6-month followup, we found a difference only in the ROM. At the 2-year followup, there were no differences in any functional scores across the four groups. Severely obese patients had greater improvement in postoperative ROM than the other groups but did not have any greater improvement in function. CONCLUSION:BMI had little clinical impact on short-term outcomes of conventional TKAs in Asian patients. The data suggest that BMI should not be used as a major determinant to exclude obese patients from surgery with the presumption of poorer outcomes.

译文

背景:在亚洲,肥胖症已达到流行病的程度,医生可能会面临与肥胖症有关的疾病负担,其中膝部骨关节炎就是其中之一。然而,目前尚不清楚肥胖是否会影响亚洲患者传统TKA的改善。
目的:因此,我们询问BMI为30 kg / m(2)或更大的肥胖患者,与非肥胖患者相比,TKA后ROM和功能是否较差,并且他们在术前和术后的改善是否会较小。
方法:我们回顾性分析了2006年至2010年接受TKA的369例患者。我们将患者分为四组:(1)98例BMI低于25 kg / m的患者(2); (2)158名BMI在25 kg / m(2)至29.9 kg / m(2)之间的患者; (3)87名BMI在30 kg / m(2)至34.9 kg / m(2)之间的患者; (4)26例BMI大于35 kg / m的患者(2)。然后,我们在6个月和12个月的随访中比较了四组的ROM,功能评分,膝关节评分,牛津膝盖问卷和SF-36问卷。
结果:在6个月的随访中,我们仅在ROM中发现了差异。在为期2年的随访中,四组的任何功能评分均无差异。严重肥胖的患者术后ROM较其他组有更大的改善,但功能没有任何改善。
结论:BMI对亚洲患者传统TKA的短期预后影响不大。数据表明,不应将BMI作为排除肥胖患者的主要决定因素,因为他们认为结果较差。

+1
+2
100研值 100研值 ¥99课程
检索文献一次
下载文献一次

去下载>

成功解锁2个技能,为你点赞

《SCI写作十大必备语法》
解决你的SCI语法难题!

技能熟练度+1

视频课《玩转文献检索》
让你成为检索达人!

恭喜完成新手挑战

手机微信扫一扫,添加好友领取

免费领《Endnote文献管理工具+教程》

微信扫码, 免费领取

手机登录

获取验证码
登录