Obesity and quality of life after primary total knee replacement

被引:5
作者
de Leeuw, JM
Villar, RN
机构
[1] Addenbrookes Hosp, Dept Orthopaed Surg, NHS Trust, Cambridge CB2 2QQ, England
[2] Cambridge Lea Hosp, BUPA, Cambridge Hip & Knee Unit, Cambridge CB4 4EL, England
关键词
total knee arthroplasty; osteoarthritis; quality of life; obesity;
D O I
10.1016/S0968-0160(97)10006-0
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
In a prospective trial of 101 consecutive patients undergoing primary total knee arthroplasty for osteoarthritis, we compared the quality of life (QoL) before and 1 year after operation in non-obese and obese groups of graded severity. Based upon a modified BOA knee score, the Rosser Index Matrix was used to generate QoL scores. Median pre-operative QoL scores for obese patients were significantly lower than for nonobese. One year after surgery, both obese and non-obese patients showed improvement in QoL scores. However, obese patients demonstrated a significantly greater improvement (P < 0.01) than the non-obese. We conclude that obesity alone should not be used as a reason to deny patients the benefit of primary total knee arthroplasty. (C) 1998 Elsevier Science B.V. All rights reserved.
引用
收藏
页码:119 / 123
页数:5
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