The DOI matches its Crossref record; 21 of the 21 references it cites were found in a registry or an index.
The Outcome of Total Knee Arthroplasty in Obese Patients
Abstract
BACKGROUND: Evidence linking increased body weight to osteoarthritis of the knee and the high prevalence of obesity underscore the importance of defining the outcome of total knee arthroplasty in obese patients. The purpose of this study was to compare the clinical and radiographic results of total knee arthroplasties performed in obese patients with those of total knee arthroplasties performed in nonobese patients. METHODS: Clinical and radiographic data on seventy-eight total knee arthroplasties in sixty-eight obese patients were compared with data on a matched group of nonobese patients. The analysis was also performed after stratification of the obese group for the degree of obesity. All patients had the same prosthesis. The clinical data that were analyzed included the Knee Society objective and functional scores, patellofemoral symptoms, activity level, and complications. RESULTS: The percentage of knees with a Knee Society score of > or =80 points at an average of eighty months was 88% in the obese group, which was significantly lower than the 99% rate in the nonobese group at the same time. The morbidly obese subgroup had a significantly higher revision rate than did the nonobese group (p = 0.02). CONCLUSIONS: The results of the present study suggest that any degree of obesity, defined as a body mass index of > or =30, has a negative effect on the outcome of total knee replacement.
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Cites
The Knee Society Total Knee Arthroplasty Roentgenographic Evaluation and Scoring System
Ewald, F. C. (1989) · Clinical Orthopaedics and Related Research · doi:10.1097/00003086-198911000-00003 · Cited by 1,971
Obesity and Knee Osteoarthritis: The Framingham Study
Felson, D. T., Anderson, J. J., Naimark, A., Walker, A. M., & Meenan, R. F. (1988) · Annals of Internal Medicine · doi:10.7326/0003-4819-109-1-18 · Cited by 1,080
The mechanics of the knee joint in relation to normal walking
Morrison, J. B. (1970) · Journal of Biomechanics · doi:10.1016/0021-9290(70)90050-3 · Cited by 1,055
Insall, J. N., Binazzi, R., Soudry, M., & Mestriner, L. A. (1985) · Clinical Orthopaedics and Related Research · doi:10.1097/00003086-198501000-00003 · Cited by 964
The total condylar knee prosthesis. A report of two hundred and twenty cases.
Insall, J., Scott, W. N., & Ranawat, C. S. (1979) · The Journal of Bone & Joint Surgery · doi:10.2106/00004623-197961020-00003 · Cited by 618
Knee osteoarthritis and obesity
Coggon, D., Reading, I., Croft, P., McLaren, M., Barrett, D., & Cooper, C. (2001) · International Journal of Obesity · doi:10.1038/sj.ijo.0801585 · Cited by 538
Body mass index and the risk of stroke in men
Kurth, T., Gaziano, J. M., Berger, K., Kase, C. S., Rexrode, K. M., Cook, N. R., Buring, J. E., & Manson, J. E. (2002) · Archives of Internal Medicine · doi:10.1001/archinte.162.22.2557 · Cited by 524
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Hart, D. J., Doyle, D. V., & Spector, T. D. (1999) · Arthritis & Rheumatism · doi:10.1002/1529-0131(199901)42:1<17::aid-anr2>3.0.co;2-e · Cited by 400
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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
Obesity and Perioperative Morbidity in Total Hip and Total Knee Arthroplasty Patients
Namba, R. S., Paxton, L., Fithian, D. C., & Stone, M. L. (2005) · The Journal of Arthroplasty · doi:10.1016/j.arth.2005.04.023 · Cited by 486
Metadata
- Authors
- Foran, J. R. H., Mont, M. A., Etienne, G., Jones, L. C., & Hungerford, D. S.
- Venue
- The Journal of Bone and Joint Surgery-American Volume
- Published
- 2004-08
- Volume
- 86
- Issue
- 8
- Pages
- 1609-1615
- ISSN
- 0021-9355 (ISSN-L)
- OpenAlex
- W160743010
- Cited by
- 292
- References
- 21
- FWCI
- 12.12
- Type
- journal article
- Language
- en
- Open access
- closed
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- Foran, J. R. H., Mont, M. A., Etienne, G., Jones, L. C., & Hungerford, D. S. (2004). The Outcome of Total Knee Arthroplasty in Obese Patients. The Journal of Bone and Joint Surgery-American Volume. https://doi.org/10.2106/00004623-200408000-00002
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