肥胖对单质膝关节关节整形术的影响
Kevin B Fricka1, Tobenna N Nwankwo2, Robert A Sershon1
1Anderson Orthopaedic Research Institute, Alexandria, Virginia; Inova Mount Vernon Hospital Joint Replacement Center, Alexandria, Virginia.
The Journal of arthroplasty
|March 6, 2025
概括
肥胖症稍微增加了单形膝关节关节整形修复风险,但感染率仍然很低. 患者的治疗结果有所改善,这表明UKA是高BMI患者的可行选择.
科学领域:
- 整形外科手术 整形外科手术
- 生物医学工程 生物医学工程
- 临床研究 临床研究
背景情况:
- 肥胖是关节置换手术中日益关注的一个问题.
- 之前的研究表明,肥胖和单形膝关节关节整形术 (UKA) 失败之间存在潜在联系.
- 这项研究调查了身体质量指数 (BMI) 对UKA结果的影响.
研究的目的:
- 为了评估肥胖对单形膝关节关节整形术 (UKA) 结果的影响.
- 为了确定更高的BMI是否会影响植入物存活率和修复率.
- 评估患者报告的结果与BMI相关.
主要方法:
- 分析了2000年至2022年期间进行的4973个初级水泥化中间UKAs.
- 主要结果:植入物存活率;次要结果:修订率,修订原因,患者报告的结果 (PRO).
- 患者按BMI截止值 (30,35,40) 分层进行比较分析.
主要成果:
- 5年和10年的植入存活率分别为95.7%和92.8%.
- 在BMI> 30和BMI> 35的切断点下,在5年后增加BMI时观察到生存率略有下降.
- 关节炎进展是最常见的修订原因,随着BMI的增加而增加;所有BMI组的感染率仍然很低.
结论:
- 较高的BMI与UKA的修订率略有增加有关.
- 所有BMI队列的低感染率支持UKA的适用性.
- 观察到患者报告结果措施的改善,即使在较高的BMI患者中也是如此.
更多相关视频
07:22Glycemic Impact on Knee Osteoarthritis Symptoms on Physical, Radiographic, and Inflammatory Markers among Individuals Aged 50 and Over with Diabetes
Published on: March 7, 2025
166
05:30Surgical Approach and Complications of Stand-alone Lateral Trans-Psoas Interbody Fusion
Published on: February 14, 2025
700
相关概念视频
Obesity
357
The Body Mass Index (BMI) is a numerical value derived from a person's weight and height, used to categorize individuals into weight ranges. It is calculated using the formula: weight in kilograms divided by height in meters squared. Obesity is a health condition characterized by excessive accumulation of adipose tissue that poses health risks, often diagnosed with a BMI ≥ 30. This excess fat storage occurs when surplus dietary calories are converted into triglycerides and stored in...
357
Knee Joint
1.4K
The knee joint is the most complicated joint in the body. It consists of three articulations– two tibiofemoral and one patellofemoral. As is characteristic of synovial joints, the knee joint has a thin articular capsule that partially surrounds this joint cavity. Additionally, several ligaments, muscles, and cartilaginous structures support the movement of the knee.
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris...
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris...
1.4K
Bones of the Lower Limb: Femur and Patella
2.1K
The femur is the body's longest and strongest bone spanning the thigh region. Its head articulates with the acetabulum of the hip bone to form the hip joint. A minor indentation on the medial side of the femoral head, called the fovea capitis, serves as the site of attachment for the ligament of the head of the femur. This weak ligament spans the femur and acetabulum and supports the hip joint. The narrowed region below the head is the neck of the femur. The inclination angle between the...
2.1K
