Results and complications of knee arthroplasty in patients with obesity
Licencia CC 4.0 (BY-NC-ND) © 2023 Revista Médica del Instituto Mexicano del Seguro Social..
Introduction: In México, many patients undergoing total knee arthroplasty (TKA) are obese, which has medical and financial consequences. The functional outcomes and the incidence of complications of these patients remain uncertain due to the inconsistency between studies.
Objective: To determine the association between obesity, complications and functional results of patients undergoing TKA.
Material and methods: Descriptive, cross-sectional, prospective, observational, cohort study in which patients who underwent TKA between September 1, 2021, and August 30, 2022, were studied. Patients were divided by their body mass index (BMI) in < 30kg/m2 and > 30kg/m2 and their demographic characteristics, Oxford Knee Score (OKS), and incidence of complications were compared.
Results: Out of the 102 patients, 59 presented a BMI < 30 kg/m2 and 43 a BMI > 30 kg/m2. No difference was found in their postoperative OKS (p = 0.12) and delta OKS (p = 0.07). A significant increase in trans-surgical (p = 0.02) and post-surgical (p = 0.04) complications was found in the group with BMI > 30 kg/m2, presenting a risk 5.03 times higher.
Conclusion: A BMI > 30kg/m2 does not affect the functional results after a TKA; however, it is associated with a risk 5.03 times higher of suffering complications during and after surgical intervention.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:61 |
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| Enthalten in: |
Revista medica del Instituto Mexicano del Seguro Social - 61(2023), Suppl 2 vom: 18. Sept., Seite S103-S108 |
| Sprache: |
Spanisch |
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| Weiterer Titel: |
Resultados y complicaciones de la artroplastía de rodilla en pacientes con obesidad |
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| Beteiligte Personen: |
Carrasco-García, Vicente [VerfasserIn] |
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| Anmerkungen: |
Date Completed 29.11.2023 Date Revised 04.01.2024 published: Electronic Citation Status MEDLINE |
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| Förderinstitution / Projekttitel: |
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| 245 | 1 | 0 | |a Results and complications of knee arthroplasty in patients with obesity |
| 246 | 3 | 3 | |a Resultados y complicaciones de la artroplastía de rodilla en pacientes con obesidad |
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| 500 | |a Date Completed 29.11.2023 | ||
| 500 | |a Date Revised 04.01.2024 | ||
| 500 | |a published: Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Licencia CC 4.0 (BY-NC-ND) © 2023 Revista Médica del Instituto Mexicano del Seguro Social. | ||
| 520 | |a Introduction: In México, many patients undergoing total knee arthroplasty (TKA) are obese, which has medical and financial consequences. The functional outcomes and the incidence of complications of these patients remain uncertain due to the inconsistency between studies | ||
| 520 | |a Objective: To determine the association between obesity, complications and functional results of patients undergoing TKA | ||
| 520 | |a Material and methods: Descriptive, cross-sectional, prospective, observational, cohort study in which patients who underwent TKA between September 1, 2021, and August 30, 2022, were studied. Patients were divided by their body mass index (BMI) in < 30kg/m2 and > 30kg/m2 and their demographic characteristics, Oxford Knee Score (OKS), and incidence of complications were compared | ||
| 520 | |a Results: Out of the 102 patients, 59 presented a BMI < 30 kg/m2 and 43 a BMI > 30 kg/m2. No difference was found in their postoperative OKS (p = 0.12) and delta OKS (p = 0.07). A significant increase in trans-surgical (p = 0.02) and post-surgical (p = 0.04) complications was found in the group with BMI > 30 kg/m2, presenting a risk 5.03 times higher | ||
| 520 | |a Conclusion: A BMI > 30kg/m2 does not affect the functional results after a TKA; however, it is associated with a risk 5.03 times higher of suffering complications during and after surgical intervention | ||
| 650 | 4 | |a English Abstract | |
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Observational Study | |
| 650 | 4 | |a Arthroplasty, Replacement, Knee | |
| 650 | 4 | |a Artroplastía de Reemplazo de Rodilla | |
| 650 | 4 | |a Complicaciones Intraoperatorias | |
| 650 | 4 | |a Complicaciones Posoperatorias | |
| 650 | 4 | |a Cross-Sectional Studies | |
| 650 | 4 | |a Estudios Transversales | |
| 650 | 4 | |a Intraoperative Complications | |
| 650 | 4 | |a Obesidad | |
| 650 | 4 | |a Obesity | |
| 650 | 4 | |a Postoperative Complications | |
| 650 | 4 | |a Resultado del Tratamiento | |
| 650 | 4 | |a Treatment Outcome | |
| 700 | 1 | |a Fernández-Hernández, Juan Pablo |e verfasserin |4 aut | |
| 700 | 1 | |a Hernández-González, Martha Alicia |e verfasserin |4 aut | |
| 700 | 1 | |a Bonilla-Salcedo, Rafael Ángel |e verfasserin |4 aut | |
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