No clinically meaningful weight changes in a young cohort following total joint arthroplasty at 3-year follow-up

被引:8
作者
Formby, Peter M. [1 ]
Purcell, Richard L. [1 ]
Baird, Michael [2 ]
Wagner, Matthew [2 ,3 ]
Goodlett, Ronald P. [1 ]
Mack, Andrew W. [1 ]
机构
[1] Walter Reed Natl Mil Med Ctr, Dept Orthopaed, 8901 Wisconsin Ave, Bethesda, MD 20889 USA
[2] Uniformed Serv Univ Hlth Sci, Dept Surg, Bethesda, MD 20814 USA
[3] Naval Med Res Ctr, Dept Regenerat Med, Silver Spring, MD USA
关键词
BMI; total joint arthroplasty; weight change; TOTAL HIP-ARTHROPLASTY; TOTAL KNEE ARTHROPLASTY; BODY-MASS INDEX; OBESITY; GAIN; REPLACEMENT; OVERWEIGHT; IMPACT; WOMEN; RISK;
D O I
10.1111/ans.13765
中图分类号
R61 [外科手术学];
学科分类号
100210 [外科学];
摘要
BackgroundTotal joint arthroplasty (TJA) is one of the most successful operations. There is little in the literature regarding weight change following TJA, particularly in a young cohort. MethodsRetrospective analysis of 181 primary total hip arthroplasty (THA) and 185 primary total knee arthroplasty (TKA) patients was conducted. We reviewed preoperative and post-operative weights and post-operative body mass index at 3 and 6months, 1year, 2 and 3years. We evaluated expected versus actual weight gain, and performed subgroup analyses of obese versus non-obese patients and active duty versus civilian patients. We used a minimal clinically meaningful weight change from baseline of 5%. ResultsOne hundred and fifty-one (41.3%) patients were active duty military service members with the mean age of 5311.1years. In TKA patients, statistically significant differences were found in mean weights at 3months (-1.8%, P0.0001) and 2years (+1.9%, P=0.0006). In THA patients, statistically significant weight gains were found at 6months (+1.1%, P=0.006). For obese TKA patients, significant weight changes were observed at 3 months (-2.5%, P0.0001), and none in the obese THA group. There were no statistical or clinically meaningful weight changes in the non-obese TKA or THA groups. There was a clinically meaningful weight gain in active duty TKA patients at 3years (5.18%, P=0.17). Conclusion Despite a theoretical ability to lose weight following TJA, patients maintain their preoperative weight following TJA. We found a clinically meaningful weight gain at 3years post-operatively only in active duty TKA patients. Overall, however, we found no clinically significant weight changes following TJA at 3-year follow-up.
引用
收藏
页码:60 / 64
页数:5
相关论文
共 27 条
[1]
Weight change following total hip replacement: A comparison of obese and non-obese patients [J].
Aderinto, J ;
Brenkel, IJ ;
Chan, P .
SURGEON-JOURNAL OF THE ROYAL COLLEGES OF SURGEONS OF EDINBURGH AND IRELAND, 2005, 3 (04) :269-272
[2]
[Anonymous], 2007, DEV PROD WEIGHT MAN
[3]
de Guia Nicole, 2006, Healthc Policy, V1, P36
[4]
Weight change 1 year following total knee or hip arthroplasty [J].
Donovan, J ;
Dingwall, I ;
McChesney, S .
ANZ JOURNAL OF SURGERY, 2006, 76 (04) :222-225
[5]
The impact of pre-operative obesity on weight change and outcome in total knee replacement A PROSPECTIVE STUDY OF 529 CONSECUTIVE PATIENTS [J].
Dowsey, M. M. ;
Liew, D. ;
Stoney, J. D. ;
Choong, P. F. .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 2010, 92B (04) :513-520
[6]
The impact of obesity on weight change and outcomes at 12 months in patients undergoing total hip arthroplasty [J].
Dowsey, Michelle M. ;
Liew, Danny ;
Stoney, James D. ;
Choong, Peter F. M. .
MEDICAL JOURNAL OF AUSTRALIA, 2010, 193 (01) :17-21
[7]
Effects of Total Knee and Hip Arthroplasty on Body Weight [J].
Duchman, Kyle R. ;
Gao, Yubo ;
Phisitkul, Phinit .
ORTHOPEDICS, 2014, 37 (03) :E278-E285
[8]
The obesity epidemic - Its effect on total joint arthroplasty [J].
Fehring, Thomas K. ;
Odum, Susan M. ;
Griffin, William L. ;
Mason, J. Bohannon ;
Mccoy, Thomas H. .
JOURNAL OF ARTHROPLASTY, 2007, 22 (06) :71-76
[9]
Griffin FM, 1998, CLIN ORTHOP RELAT R, P28
[10]
Overweight and obesity in hip and knee arthroplasty: Evaluation of 6078 cases [J].
Guenther, Daniel ;
Schmidl, Stefan ;
Klatte, Till O. ;
Widhalm, Harald K. ;
Omar, Mohamed ;
Krettek, Christian ;
Gehrke, Thorsten ;
Kendoff, Daniel ;
Haasper, Carl .
WORLD JOURNAL OF ORTHOPEDICS, 2015, 6 (01) :137-144