Management of symptomatic knee osteoarthritis in obesity: a survey of orthopaedic surgeons’ opinions and practice

被引：9

作者：

Hill D.S. ^{[1
]}

Freudmann M. ^{[2
]}

Sergeant J.C. ^{[3
,4
]}

Board T. ^{[1
]}

机构：

[1] Wrightington Lower Limb Unit, Wrightington Hospital, Appley Bridge, Wigan, WN6 9EP, Lancashire

[2] Department of Orthopaedic Surgery, Furness General Hospital, Barrow in Furness, Cumbria

[3] Centre for Biostatistics, Manchester Academic Health Science Centre, University of Manchester, Manchester

[4] Arthritis Research UK, Centre for Epidemiology, Centre for Musculoskeletal Research, Manchester Academic Health Science Centre, University of Manchester, Manchester

来源：

European Journal of Orthopaedic Surgery & Traumatology | 2018年 / 28卷 / 5期

关键词：

Management of symptomatic knee osteoarthritis in obesity; Outcomes and complications; Surgeons practice; Total knee arthroplasty;

D O I：

10.1007/s00590-017-2103-9

中图分类号：

学科分类号：

摘要：

Introduction: The aim of this survey was to explore knee surgeons’ opinions and practices regarding the management of symptomatic knee osteoarthritis in obesity. Methods: Questionnaires were sent electronically to all consultant members of the British Association for Surgery of the Knee. Results: The response rate was 52%. The survey showed considerable practice variation and divided opinion on the evidence base. The majority stated that weight loss should be the first-line treatment. 53% (91/172) stated that such cases should ideally be assessed by a specialist multidisciplinary service; however, only 24% (41/169) would be interested in being the orthopaedic surgeon in such a service. Discussion: The optimal pathway of care for the obese patient with symptomatic knee osteoarthritis remains unclear. Given recent debate around the rationing of knee arthroplasty surgery in obesity, we felt it was timely to survey knee surgeons’ current practice. Conclusion: Our survey has shown considerable variation in the opinions and practice of surgeons on the management of symptomatic knee osteoarthritis in obesity, together with divided views on current literature. © 2017, Springer-Verlag France SAS, part of Springer Nature.

引用

页码：967 / 974

页数：7

共 29 条

[1]

Treatment of osteoarthritis of the knee evidenced based guideline, (2013)

[2]

Obesity: identification, assessment and management, (2014)

[3]

Watts C.D., Wagner E.R., Houdek M.T., Osmon D.R., Hanssen A.D., Lewallen D.G., Et al., Morbid obesity: a significant risk factor for failure of two-stage revision total knee arthroplasty for infection, J Bone Joint Surg Am Vol, 96, 18, (2014)

[4]

Houdek M.T., Wagner E.R., Watts C.D., Osmon D.R., Hanssen A.D., Lewallen D.G., Et al., Morbid obesity: a significant risk factor for failure of two-stage revision total hip arthroplasty for infection, J Bone Joint Surg Am Vol, 97, 4, pp. 326-332, (2015)

[5]

Sridhar M.S., Jarrett C.D., Xerogeanes J.W., Labib S.A., Obesity and symptomatic osteoarthritis of the knee, J Bone Joint Surg Br Vol, 94, 4, pp. 433-440, (2012)

[6]

Kerkhoffs G.M., Servien E., Dunn W., Dahm D., Bramer J.A., Haverkamp D., The influence of obesity on the complication rate and outcome of total knee arthroplasty: a meta-analysis and systematic literature review, J Bone Joint Surg Am Vol, 94, 20, pp. 1839-1844, (2012)

[7]

Rodriguez-Merchan E.C., The influence of obesity on the outcome of TKR: can the impact of obesity be justified from the viewpoint of the overall health care system?, HSS J Musculoskelet J Hosp Spec Surg, 10, 2, pp. 167-170, (2014)

[8]

Murgatroyd S.E., Frampton C.M., Wright M.S., The effect of body mass index on outcome in total hip arthroplasty: early analysis from the New Zealand Joint Registry, J Arthroplasty, 29, 10, pp. 1884-1888, (2014)

[9]

Letter to the Times regarding the Rationing of Hip and Knee Replacements, (2017)

[10]

Buchwald H., Avidor Y., Braunwald E., Jensen M.D., Pories W., Fahrbach K., Et al., Bariatric surgery: a systematic review and meta-analysis, JAMA, 292, 14, pp. 1724-1737, (2004)

← 1 2 3 →