Total Knee Arthroplasty in Morbidly Obese Patients Treated With Bariatric Surgery A Comparative Study

被引：85

作者：

Severson, Erik P. ^{[3
,4
]}

Singh, Jasvinder A. ^{[1
,2
,4
,5
,6
]}

Browne, James A. ^{[7
]}

Trousdale, Robert T. ^{[4
]}

Sarr, Michael G. ^{[8
]}

Lewallen, David G. ^{[4
]}

机构：

[1] Univ Alabama Birmingham, Fac Off, Sch Publ Hlth, Dept Med, Birmingham, AL 35294 USA

[2] Univ Alabama Birmingham, Sch Publ Hlth, Div Epidemiol, Birmingham, AL 35294 USA

[3] Minnesota Ctr Orthopaed, Crosby, MN USA

[4] Mayo Clin, Coll Med, Dept Orthoped Surg, Rochester, MN USA

[5] Birmingham VA Med Ctr, Med Serv, Birmingham, AL USA

[6] Birmingham VA Med Ctr, C SMART, Birmingham, AL USA

[7] Univ Virginia, Dept Orthopaed Surg, Charlottesville, VA USA

[8] Mayo Clin, Coll Med, Dept Surg, Rochester, MN USA

来源：

JOURNAL OF ARTHROPLASTY | 2012年 / 27卷 / 09期

关键词：

total knee arthroplasty; morbidly obese; bariatric surgery; outcomes; TOTAL JOINT ARTHROPLASTY; WEIGHT-LOSS; GASTRIC BYPASS; BONE TURNOVER; TOTAL HIP; COMPLICATIONS; REPLACEMENT; MECHANISMS; MARKERS;

D O I：

10.1016/j.arth.2012.03.005

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Our objective was to compare outcomes (anesthesia time, total operative time, tourniquet time, duration of hospital stay, 90-day complication rate, and transfusion rates) of patients with total knee arthroplasty (TKA) who underwent bariatric surgery before or after TKA. One hundred twenty-five patients were included: TKA before bariatric surgery (group 1; n = 39), TKA within 2 years of bariatric surgery (group 2; n = 25), and TKA more than 2 years after bariatric surgery (group 3; n = 61). Patients with TKA more than 2 years after bariatric surgery had shorter anesthesia and total operative and tourniquet times than other groups; differences were significant between groups. Ninety-day complication and transfusion rates approached but did not meet statistical significance. Ninety-day complication rates and duration of hospital stay did not differ significantly between the 3 groups. The level of evidence was level II (cohort study).

引用

页码：1696 / 1700

页数：5

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