Rodriguez-Merchan E Carlos
La Paz University Hospital, Madrid, Spain.
J Orthop Surg (Hong Kong). 2015 Apr;23(1):107-10. doi: 10.1177/230949901502300124.
The MEDLINE database was searched using the key words: 'obesity' and 'knee arthroplasty'. 41 articles focused on the topic were reviewed; most studies were prospective case series (providing low-level evidence) and 3 were systematic reviews. 16 studies reported no adverse association between obesity and total knee arthroplasty (TKA) outcome, whereas 24 studies reported a poorer TKA outcome in obese patients. In the 3 systematic reviews, obesity was reported to adversely affect the outcome, the rate of complications, implant survival, and the cost of TKA.
使用关键词“肥胖症”和“膝关节置换术”检索MEDLINE数据库。对41篇关注该主题的文章进行了综述；大多数研究为前瞻性病例系列研究（提供低级别证据），3篇为系统评价。16项研究报告肥胖症与全膝关节置换术（TKA）结局之间无不良关联，而24项研究报告肥胖患者的TKA结局较差。在3篇系统评价中，据报告肥胖症会对TKA的结局、并发症发生率、植入物存活率和成本产生不利影响。
