AIM: To evaluate the body mass index(BMI) change in arthroplasty patients and its impact on the patients' functional results. METHODS: Between October 2010 and May 2013, 606 patients who were operated due to gonar...AIM: To evaluate the body mass index(BMI) change in arthroplasty patients and its impact on the patients' functional results. METHODS: Between October 2010 and May 2013, 606 patients who were operated due to gonarthrosis, coxarthrosis, aseptic loosening of the total knee and hip prosthesis were evaluated prospectively. Patients were operated by three surgeons in three medical centers. Patients who were between 30-90 years of age and who were underwent total knee arthroplasty, total hip arthroplasty, revision knee arthroplasty, or revision hip arthroplasty were included in the study. We excluded the patients who cannot tolerate our standard postoperative rehabilitation program. Additionally, patients who had systemic inflammatory diseases, diabetes mellitus, or endochrinopathies were excluded from the study. The remaining 513 patients comprised our study group. Preoperative functional joint scores, height, weightand BMI of all patients were recorded. We used the Knee Society Score(KSS) for knee and Harris Hip Score(HHS) for hip patients. Postoperative functional scores were measured at 1^(st), 6^(th) and 12^(th) months and recorded separately at outpatient visits. RESULTS: The mean age of the patients was 64.7(range: 30-90) years(207 males/306 females) and the mean follow-up duration was 14.3(range: 12-26) mo. We found that arthroplasty patients had weight gain and had an increase in BMI at the postoperative 1^(st), 6^(th) and 12^(th) months. The mean BMI of the patients was 27.7 preoperatively, 27.8 at the postoperative 1^(st) month, 28.1 at the 6^(th) month and 28.6 at the 12^(th) month(P < 0.01). At the last visit, the mean postoperative HHS of the hip arthroplasty patients was 82.2 ± 7.12(preoperatively, 52.3; 1st month, 78.2; 6^(th) month, 81.1; 12^(th) month, 82.2), and the mean KSS of the knee arthroplasty patients was 79.3 ± 4.31(preoperatively, 35.8; 1^(st) month, 75.2; 6^(th) month, 79.1; 12^(th) month, 79.3). Worse functional results were noted in the patients who had a BMI increase, however, this correlation was statistically significant only at the postoperative 6^(th) month(P = 0.03). CONCLUSION: To prevent the negative functional effects of this weight gain during the postoperative period, arthroplasty patients should be advised for weight control and risky patients should consult with a dietician.展开更多
Objective: Arthroscopic surgery is one of the most common surgical procedures in orthopedic surgery. Post-surgery weight gain is one of the most important factors that affects the functional outcomes of arthroscopic s...Objective: Arthroscopic surgery is one of the most common surgical procedures in orthopedic surgery. Post-surgery weight gain is one of the most important factors that affects the functional outcomes of arthroscopic surgery. This study investigated the effect of changes in the body mass index (BMI) in the period after arthroscopic surgery and the potential impact of these changes on functional outcomes. Methods: One hundred-sixty four patients (knee and hip arthroscopy patients) were evaluated retrospectively. Changes in the BMI and functional scores of the patients between the preoperative period and first, third, and sixth months postoperatively were compared. Results: The mean age of the patients was 36.03 (15 - 64) years, and the mean follow-up was 14.2 months (6 - 29) months. Postoperative increases in the BMI values in the first, third, and sixth months were statistically significant in the three groups of patients (i.e., meniscal pathology, ligament pathology, and intra-articular hip pathology) (p p = 0.564), meniscal pathology (p = 0.854), and ligament pathology groups (p = 0.908) were not statistically significant. Conclusion: Patients may gain weight following arthroscopic surgery of the knee and hip. Orthopedic surgeons should keep this issue in mind and educate patients about how to prevent potential weight gain to ensure it does not adversely affect functional outcomes.展开更多
文摘AIM: To evaluate the body mass index(BMI) change in arthroplasty patients and its impact on the patients' functional results. METHODS: Between October 2010 and May 2013, 606 patients who were operated due to gonarthrosis, coxarthrosis, aseptic loosening of the total knee and hip prosthesis were evaluated prospectively. Patients were operated by three surgeons in three medical centers. Patients who were between 30-90 years of age and who were underwent total knee arthroplasty, total hip arthroplasty, revision knee arthroplasty, or revision hip arthroplasty were included in the study. We excluded the patients who cannot tolerate our standard postoperative rehabilitation program. Additionally, patients who had systemic inflammatory diseases, diabetes mellitus, or endochrinopathies were excluded from the study. The remaining 513 patients comprised our study group. Preoperative functional joint scores, height, weightand BMI of all patients were recorded. We used the Knee Society Score(KSS) for knee and Harris Hip Score(HHS) for hip patients. Postoperative functional scores were measured at 1^(st), 6^(th) and 12^(th) months and recorded separately at outpatient visits. RESULTS: The mean age of the patients was 64.7(range: 30-90) years(207 males/306 females) and the mean follow-up duration was 14.3(range: 12-26) mo. We found that arthroplasty patients had weight gain and had an increase in BMI at the postoperative 1^(st), 6^(th) and 12^(th) months. The mean BMI of the patients was 27.7 preoperatively, 27.8 at the postoperative 1^(st) month, 28.1 at the 6^(th) month and 28.6 at the 12^(th) month(P < 0.01). At the last visit, the mean postoperative HHS of the hip arthroplasty patients was 82.2 ± 7.12(preoperatively, 52.3; 1st month, 78.2; 6^(th) month, 81.1; 12^(th) month, 82.2), and the mean KSS of the knee arthroplasty patients was 79.3 ± 4.31(preoperatively, 35.8; 1^(st) month, 75.2; 6^(th) month, 79.1; 12^(th) month, 79.3). Worse functional results were noted in the patients who had a BMI increase, however, this correlation was statistically significant only at the postoperative 6^(th) month(P = 0.03). CONCLUSION: To prevent the negative functional effects of this weight gain during the postoperative period, arthroplasty patients should be advised for weight control and risky patients should consult with a dietician.
文摘Objective: Arthroscopic surgery is one of the most common surgical procedures in orthopedic surgery. Post-surgery weight gain is one of the most important factors that affects the functional outcomes of arthroscopic surgery. This study investigated the effect of changes in the body mass index (BMI) in the period after arthroscopic surgery and the potential impact of these changes on functional outcomes. Methods: One hundred-sixty four patients (knee and hip arthroscopy patients) were evaluated retrospectively. Changes in the BMI and functional scores of the patients between the preoperative period and first, third, and sixth months postoperatively were compared. Results: The mean age of the patients was 36.03 (15 - 64) years, and the mean follow-up was 14.2 months (6 - 29) months. Postoperative increases in the BMI values in the first, third, and sixth months were statistically significant in the three groups of patients (i.e., meniscal pathology, ligament pathology, and intra-articular hip pathology) (p p = 0.564), meniscal pathology (p = 0.854), and ligament pathology groups (p = 0.908) were not statistically significant. Conclusion: Patients may gain weight following arthroscopic surgery of the knee and hip. Orthopedic surgeons should keep this issue in mind and educate patients about how to prevent potential weight gain to ensure it does not adversely affect functional outcomes.
