Obese Patients Undergoing Total Knee Arthroplasty Have Distinct Preoperative Characteristics An Institutional Study of 4718 Patients

被引：29

作者：

Vulcano, Ettore ^{[1
,2
]}

Lee, Yuo-Yu ^{[2
,3
]}

Yamany, Tarek ^{[1
,2
]}

Lyman, Stephen ^{[2
,3
]}

Della Valle, Alejandro Gonzalez ^{[1
,2
]}

机构：

[1] Hosp Special Surg, Dept Orthopaed Surg, New York, NY 10021 USA

[2] Cornell Univ, Weill Med Coll, New York, NY 10021 USA

[3] Hosp Special Surg, Dept Biostat, New York, NY 10021 USA

来源：

JOURNAL OF ARTHROPLASTY | 2013年 / 28卷 / 07期

关键词：

obesity; TKA; WOMAC; SF-36; BMI; BODY-MASS INDEX; RISK-FACTORS; MORBIDLY OBESE; TOTAL HIP; REPLACEMENT; OSTEOARTHRITIS; JOINT; PROGRESSION; OUTCOMES; WEIGHT;

D O I：

10.1016/j.arth.2012.10.028

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：

Obesity affects a disproportionate proportion of total knee arthroplasty (TKA) patients. Our study explores pre-operative characteristics between obese and non-obese patients undergoing TKA surgery. A cohort of 4718 osteoarthritic patients, undergoing primary TKA, was studied. Patients were stratified according to BMI classes. Each class was compared in terms of age, race, gender, level of education, insurance status, preoperative WOMAC, SF-36, and Elixhauser comorbidities. There was a positive relationship between BMI and female gender, non-white race, Medicaid, private insurance, and self-pay. A negative relationship was observed between BMI and age, Medicare, WOMAC and SF-36. Obese TKA candidates differ from their non-obese counterparts in a number of demographic, socioeconomic, and clinical characteristics. (c) 2013 Elsevier Inc. All rights reserved.

引用

页码：1125 / 1129

页数：5

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