The DOI matches its Crossref record; 31 of the 31 references it cites were found in a registry or an index.
Total knee replacement in morbidly obese patients: RESULTS OF A PROSPECTIVE, MATCHED STUDY
Open accessAbstract
The results of 41 consecutive total knee replacements performed on morbidly obese patients with a body mass index > 40 kg/m 2, were compared with a matched group of 41 similar procedures carried out in non-obese patients (body mass index < 30 kg/m 2). The groups were matched for age, gender, diagnosis, type of prosthesis, laterality and pre-operative Knee Society Score. We prospectively followed up the patients for a mean of 38.5 months (6 to 66). No patients were lost to follow-up. At less than four years after operation, the results were worse in the morbidly obese group compared with the non-obese, as demonstrated by inferior Knee Society Scores (mean knee score 85.7 and 90.5 respectively, p = 0.08; mean function score 75.6 and 83.4, p = 0.01), a higher incidence of radiolucent lines on post-operative radiographs (29% and 7%, respectively, p = 0.02), a higher rate of complications (32% and 0%, respectively, p = 0.001) and inferior survivorship using revision and pain as end-points (72.3% and 97.6%, respectively, p = 0.02). Patients with a body mass index > 40 kg/m 2 should be advised to lose weight prior to total knee replacement and to maintain weight reduction. They should also be counselled regarding the inferior results which may occur if they do not lose weight before surgery.
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Cites
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Obesity Decreases Perioperative Tissue Oxygenation
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Total Knee Arthroplasty in Morbidly Obese Patients*
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Cited by
Garvey, W. T., Mechanick, J. I., Brett, E. M., Garber, A. J., Hurley, D. L., Jastreboff, A. M., Nadolsky, K., Pessah-Pollack, R., & Plodkowski, R. (2016) · Endocrine Practice · doi:10.4158/ep161365.gl · Cited by 1,914
Mechanick, J. I., Apovian, C., Brethauer, S., Garvey, W. T., Joffe, A. M., Kim, J., Kushner, R. F., Lindquist, R., Pessah-Pollack, R., Seger, J., et al. (2020) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2019.10.025 · Cited by 608
Mechanick, J. I., Apovian, C., Brethauer, S., Garvey, W. T., Joffe, A. M., Kim, J., Kushner, R. F., Lindquist, R., Pessah-Pollack, R., Seger, J., et al. (2019) · Endocrine Practice · doi:10.4158/gl-2019-0406 · Cited by 510
Kerkhoffs, G. M. M. J., Servien, E., Dunn, W., Dahm, D., Bramer, J. A. M., & Haverkamp, D. (2012) · The Journal of Bone & Joint Surgery · doi:10.2106/jbjs.k.00820 · Cited by 503
Kulkarni, K., Karssiens, T., Kumar, V., & Pandit, H. (2016) · Maturitas · doi:10.1016/j.maturitas.2016.04.006 · Cited by 465
Metadata
- Authors
- Amin, A. K., Clayton, R. A. E., Patton, J. T., Gaston, M., Cook, R. E., & Brenkel, I. J.
- Venue
- The Journal of Bone and Joint Surgery. British volume
- Published
- 2006-10
- Volume
- 88-B
- Issue
- 10
- Pages
- 1321-1326
- ISSN
- 0301-620X (ISSN-L)
- 2044-5377
- OpenAlex
- W2263870577
- Cited by
- 263
- References
- 31
- FWCI
- 9.66
- Type
- journal article
- Language
- en
- Open access
- bronze
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- Amin, A. K., Clayton, R. A. E., Patton, J. T., Gaston, M., Cook, R. E., & Brenkel, I. J. (2006). Total knee replacement in morbidly obese patients: RESULTS OF A PROSPECTIVE, MATCHED STUDY. The Journal of Bone and Joint Surgery. British volume. https://doi.org/10.1302/0301-620x.88b10.17697
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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