Do Stemmed Tibial Components in Total Knee Arthroplasty Improve Outcomes in Patients With Obesity?

Parratte, Sébastien; Ollivier, Matthieu; Lunebourg, Alexandre; Verdier, Nicolas; Argenson, J.-N.

doi:10.1007/s11999-016-4791-6

Cited by 39 publications

(24 citation statements)

References 28 publications

(61 reference statements)

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“…An elevated BMI has been debated as a risk factor for early tibia loosening [26] [27]. In our study, patients who that underwent revision TKA for aseptic loosening had an average BMI of 31; obesity was not a significant risk factor for failure, a result that differs from previous studies [21][22] [28].…”

Section: Discussionmentioning

confidence: 56%

Failure After Modern Total Knee Arthroplasty: A Prospective Study of 18,065 Knees

Pitta

Esposito

et al. 2018

The Journal of Arthroplasty

186

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The most common reasons for failure within 2 years after TKA were infection and stiffness. The multivariable regression identified the following preoperative risk factors for TKA failure: history of drug abuse (hazard ratio [HR] 4.68; P = 0.03), deformity/mechanical preoperative diagnosis (HR 3.52; P < .01), having a constrained condylar knee implant over posterior-stabilized implant (HR 1.99; P < .01), post-traumatic/trauma preoperative diagnosis (HR 1.78; P = .03), and younger age (HR 0.61; P < .01) CONCLUSION: These findings add to the growing data that primary TKAs are no longer failing from polyethylene wear-related issues. This study identified preoperative risk factors for failure of primary TKAs, which may be useful information for developing strategies to improve outcomes following TKA.

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Section: Discussionmentioning

confidence: 56%

Failure After Modern Total Knee Arthroplasty: A Prospective Study of 18,065 Knees

Pitta

Esposito

et al. 2018

The Journal of Arthroplasty

186

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“…Increased loading and altered kinematics of joints in obese patients caused higher incidence of aseptic loosening and medial collapse [ 132 ]. To avoid early revisions, it was recommended that cemented stemmed tibial implants can be considered in the morbidly obese patients [ 132 , 133 ], however, studies on the efficacy of this technique are limited.…”

Section: Therapeutic Strategies For Obesity-related Oamentioning

confidence: 99%

Pathogenesis and clinical management of obesity-related knee osteoarthritis: Impact of mechanical loading

Chen

Zheng

et al. 2020

Journal of Orthopaedic Translation

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Summary Obesity-related osteoarthritis (OA) is a complex, multifactorial condition that can cause significant impact on patients’ quality of life. Whilst chronic inflammation, adipocytokines and metabolic factors are considered to be important pathogenic factors in obesity related OA, there has been limited investigation into the biomechanical impact of obesity on OA development. This review aims to demonstrate that mechanical factors are the major pathological cause of obesity-related OA. The effect of obesity on pathological changes to the osteochondral unit and surrounding connective tissues in OA is summarized, as well as the impact of obesity-related excessive and abnormal joint loading, concomitant joint malalignment and muscle weakness. An integrated therapeutic strategy based on this multi-factorial presentation is presented, to assist in the management of obesity related OA. The translational potential of this article Despite the high prevalence of obesity-related OA, there is no specific guideline available for obesity-related OA management. In this review, we demonstrated the pathological changes of obesity-related OA and summarized the impact of biomechanical factors by proposing a hypothetical model of obesity-related OA change. Therapeutic strategies based on adjusting abnormal mechanical effects are presented to assist in the management of obesity-related OA.

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“…The SF‐12 has been used as an outcome measure in clinical trials to evaluate the efficacy of a broad range of interventions for rheumatic conditions, including pharmacological treatment for osteoarthritis of the hip, knee, and hand ; hydrotherapy treatment for osteoarthritis and fibromyalgia ; Tai Chi for hip or knee osteoarthritis ; hand exercises for rheumatoid arthritis ; foot orthoses for rheumatoid arthritis ; self‐management for fibromyalgia ; surgical procedures, eg, total hip arthroplasty and total knee arthroplasty ; and postsurgical rehabilitation (exercise following total knee arthroplasty) .…”

Section: Medical Outcomes Study 12‐item Short Form Health Surveymentioning

confidence: 99%

Adult Measures of General Health and Health‐Related Quality of Life

Busija

Ackerman

Haas

et al. 2020

Arthritis Care & Research

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Do Stemmed Tibial Components in Total Knee Arthroplasty Improve Outcomes in Patients With Obesity?

Cited by 39 publications

References 28 publications

Failure After Modern Total Knee Arthroplasty: A Prospective Study of 18,065 Knees

Failure After Modern Total Knee Arthroplasty: A Prospective Study of 18,065 Knees

Pathogenesis and clinical management of obesity-related knee osteoarthritis: Impact of mechanical loading

Adult Measures of General Health and Health‐Related Quality of Life

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