期刊
INTERNATIONAL ORTHOPAEDICS
卷 25, 期 4, 页码 246-249出版社
SPRINGER-VERLAG
DOI: 10.1007/s002640100255
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The clinical and radiographic outcomes of 326 total knee replacements (TKR) in 285 osteoarthritic patients with body mass index (BMI) greater than 30 kg/m(2) were compared with the results of a matched group of 425 TKR in 371 patients with BMI less than 30 kg/m(2). At an average follow-up of 75.9 (48-144) months the Knee Society score (KSS) in the obese patients had increased by 41.9 points, and the joint score by 43.7. In the non-obese group the KSS rose by 40.2 points and the joint score by 42.6 points. Although patients with BMI greater than 40 kg/m(2) achieved a lower final KSS the,absolute improvement' appeared to be independent of BMI. Of the obese patient group 4.9% underwent a revision of their TKR, compared with 3.1% of the non-obese group. Although linear osteolysis (radiolucency) rates were comparable, focal osteolysis rates were 5 times those of control subjects when the BMI exceeded 40 kg/m(2). Ten-year survivorship figures were similar for both obese and non-obese patients.
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