Cemented vs Cementless Total Knee Arthroplasty in Morbidly Obese Patients

被引：80
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
收藏
页码：1727 / 1731
页数：5
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