Title:
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Better Outcomes in Severe and Morbid Obese Patients (BMI> 35 kg/m2) in Primary Endo-Model Rotating-Hinge Total Knee Arthroplasty
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Author:
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Lozano, Luis M.; López, Vicente; Ríos, José; Popescu, Dragos; Torner i Pifarré, Pere; Castillo, Félix; Maculé Beneyto, Francisco
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Other authors:
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Universitat de Barcelona |
Abstract:
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The Endo-Model rotating-hinge prosthesis is preferably indicated as a primary implant in patients with advanced axial deviation of the lower limbs or unstable knees with severe bone defects. Outcomes were studied in 111 knees, operated in a three-year period; the mean followup was 28 months. Joint balance enhancement and limbs mechanical axis correction were achieved after surgery. There were 6 deep infections and 16 patients referred postoperative anterior knee pain. WOMAC index scores disaggregated by gender and BMI showed better outcomes in obese patients (specifically, those with a BMI of 35 40 kg/m2) and in men. Although the lack of a control group did not allow definite conclusions and despite a nonnegligible complication rate, our results reveal that the Endo-Model total knee arthroplasty can be a useful tool to deal with severe and morbid obese patients affected of severe gonarthrosis associated with marked axial deviations, ligament instability, or bone defects. |
Subject(s):
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-Artroplàstia -Genoll -Obesitat mòrbida -Arthroplasty -Knee -Morbid obesity |
Rights:
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cc-by (c) Lozano,L. M. et al., 2012
http://creativecommons.org/licenses/by/3.0/es |
Document type:
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Article Article - Published version |
Published by:
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Hindawi
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