Cemented vs Cementless Total Knee Arthroplasty in Morbidly Obese Patients

被引：90

作者：

Bagsby, Deren T. ^{[1
]}

Issa, Kimona ^{[2
]}

Smith, Langan S. ^{[3
]}

Elmallah, Randa K. ^{[2
]}

Mast, Logan E. ^{[4
]}

Harwin, Steven F. ^{[5
]}

Mont, Michael A. ^{[2
]}

Bhimani, Samrath J. ^{[6
]}

Malkani, Arthur L. ^{[4
]}

机构：

[1] Indiana Univ Sch Med, Dept Orthoped, Indianapolis, IN 46202 USA

[2] Sinai Hosp Baltimore, Rubin Inst Adv Orthoped, Baltimore, MD USA

[3] KentuckyOne Hlth, Jewish Phys Grp, Louisville, KY USA

[4] Univ Louisville, Dept Orthoped, Louisville, KY 40292 USA

[5] Mt Sinai Beth Israel, New York, NY USA

[6] Mercer Univ, Coll Med, Macon, GA 31207 USA

来源：

JOURNAL OF ARTHROPLASTY | 2016年 / 31卷 / 08期

关键词：

morbidly obese; total knee arthroplasty; complications; cemented TKA; cementless TKA; BODY-MASS INDEX; WEIGHT CHANGE; OSTEOARTHRITIS; REPLACEMENT; PREVALENCE; OVERWEIGHT; IMPACT; JOINT; HIP;

D O I：

10.1016/j.arth.2016.01.025

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：

Background: Primary total knee arthroplasty (TKA) in morbidly obese patients has been associated with greater postoperative complications. Cementless TKA has the potential for biologic fixation which may provide more durable long-term stability. Methods: This was a multicenter review of 298 TKAs in 292 morbidly obese patients (body mass index, >40) undergoing TKA, with 154 TKAs (149 patients) in the cemented and 144 TKAs (143 patients) in the cementless group. Results: There were significantly more revisions in the cemented group (n = 20) than in the cementless group (n = 1; 13.0% vs 0.7%). There was a significantly higher incidence of aseptic loosening in the cemented cohort vs the cementless cohort (9 vs 0 TKAs). All revisions in the cementless cohort were due to infection (0.7%). Conclusion: Cementless fixation may be an alternative in the morbidly obese patient undergoing primary TKA. (C) 2016 Elsevier Inc. All rights reserved.

引用

页码：1727 / 1731

页数：5

共 39 条

[1] Increased Aseptic Tibial Failures in Patients With a BMI ≥ 35 and Well-Aligned Total Knee Arthroplasties [J].

Abdel, Matthew P. ;

Bonadurer, George F., III ;

Jennings, Matthew T. ;

Hanssen, Arlen D. .

JOURNAL OF ARTHROPLASTY, 2015, 30 (12) :2181-2184

[2]

AHLBERG A, 1981, CLIN ORTHOP RELAT R, P170

[3] Total knee replacement in morbidly obese patients - Results of a prospective, matched study [J].

Amin, A. K. ;

Clayton, R. A. E. ;

Patton, J. T. ;

Gaston, M. ;

Cook, R. E. ;

Brenkel, I. J. .

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 2006, 88B (10) :1321-1326

[4] Tibial component failure mechanisms in total knee arthroplasty [J].

Berend, ME ;

Ritter, MA ;

Meding, JB ;

Faris, PM ;

Keating, EM ;

Redelman, R ;

Faris, GW ;

Davis, KE .

CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2004, (428) :26-34

[5] Obesity [J].

Bjorntorp, P .

LANCET, 1997, 350 (9075) :423-426

[6]

BOSTMAN OM, 1994, INT J OBESITY, V18, P709

[7]

BOURNE RB, 1986, CLIN ORTHOP RELAT R, P95

[8] OVERWEIGHT IS RISKING FATE - DEFINITION, CLASSIFICATION, PREVALENCE, AND RISKS [J].

BRAY, GA .

ANNALS OF THE NEW YORK ACADEMY OF SCIENCES-SERIES, 1987, 499 :14-28

[9]

Cai ZJ, 1999, WHO TECH REP SER, V887, P1

[10] The relationship between obesity and the age at which hip and knee replacement is undertaken [J].

Changulani, M. ;

Kalairajah, Y. ;

Peel, T. ;

Field, R. E. .

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 2008, 90B (03) :360-363

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