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计算机导航全膝关节置换术的临床和影像学结果不受体重指数的不利影响。

Clinical and radiographic outcomes of computer-navigated total knee arthroplasty are not adversely affected by body mass index.

作者信息

Puah Ken Lee, Yeo William, Tan Mann Hong

机构信息

Department of Orthopaedic Surgery, Singapore General Hospital, Singapore.

出版信息

J Orthop. 2019 Nov 12;19:54-58. doi: 10.1016/j.jor.2019.11.002. eCollection 2020 May-Jun.

DOI:10.1016/j.jor.2019.11.002
PMID:32021037
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6994793/
Abstract

AIM: To study the effect of obesity on clinical and radiographic outcomes of computer-navigated knee arthroplasty. MATERIALS AND METHODS: 117 patients underwent primary computer-navigated total knee arthroplasty. Eight were lost to follow-up and 8 had incomplete data. RESULTS: Eighty-four (83.2%) female, 17 (16.8%) male patients age 65.3 ± 6.9 years with a pre-operative BMI 27.2 ± 4.1 (18.6-40.0) kg/m, 7.3 ± 0.98 years follow-up. Forty-two (41.6%) had a BMI>27.5 kg/m indicative of obesity in Singapore. Post-operative radiographic alignment, 2-year Oxford knee scores and ROM were not significantly associated with BMI. CONCLUSION: BMI is not a determinant of functional scores when computer navigation is used.

摘要

目的：研究肥胖对计算机导航膝关节置换术临床及影像学结果的影响。 材料与方法：117例患者接受了初次计算机导航全膝关节置换术。8例失访，8例数据不完整。 结果：84例（83.2%）女性，17例（16.8%）男性，年龄65.3±6.9岁，术前体重指数（BMI）为27.2±4.1（18.6 - 40.0）kg/m²，随访7.3±0.98年。42例（41.6%）的BMI>27.5 kg/m²，在新加坡这表明肥胖。术后影像学对线、2年牛津膝关节评分及活动度与BMI无显著相关性。 结论：使用计算机导航时，BMI不是功能评分的决定因素。

相似文献

[1]
Clinical and radiographic outcomes of computer-navigated total knee arthroplasty are not adversely affected by body mass index.

J Orthop. 2019-11-12

[2]
Computer-navigated versus conventional total knee arthroplasty a prospective randomized trial.

J Bone Joint Surg Am. 2012-11-21

[3]
Conventional versus computer-navigated TKA: a prospective randomized study.

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[4]
A Comparison of Long-Term Outcomes of Computer-Navigated and Conventional Total Knee Arthroplasty: A Meta-Analysis of Randomized Controlled Trials.

J Bone Joint Surg Am. 2019-10-16

[5]
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Knee Surg Sports Traumatol Arthrosc. 2017-2-16

[6]
Computer navigation for total knee arthroplasty reduces revision rate for patients less than sixty-five years of age.

J Bone Joint Surg Am. 2015-4-15

[7]
The Clinical Outcome of Computer-Navigated Compared with Conventional Knee Arthroplasty in the Same Patients: A Prospective, Randomized, Double-Blind, Long-Term Study.

J Bone Joint Surg Am. 2017-6-21

[8]
Computer navigation for total knee arthroplasty achieves better postoperative alignment compared to conventional and patient-specific instrumentation in a low-volume setting.

Orthop Traumatol Surg Res. 2018-4-25

[9]
Current state of computer navigation and robotics in unicompartmental and total knee arthroplasty: a systematic review with meta-analysis.

Knee Surg Sports Traumatol Arthrosc. 2016-11

[10]
Clinical outcome is not affected by total knee arthroplasty alignment.

Knee Surg Sports Traumatol Arthrosc. 2016-10

引用本文的文献

[1]
Robotic-Assisted Total Knee Arthroplasty in Obese Patients.

Arthroplast Today. 2024-2-20

[2]
No influence of obesity on mid-term clinical, functional, and radiological results after computer-navigated total knee arthroplasty using a gap balancing technique.

J Clin Orthop Trauma. 2021-1-8

本文引用的文献

[1]
Elevated Body Mass Index Is Associated With Early Total Knee Revision for Infection.

J Arthroplasty. 2016-6-7

[2]
Health Promotion Board-Ministry of Health Clinical Practice Guidelines: Obesity.

Singapore Med J. 2016-6

[3]
Conventional versus computer-navigated TKA: a prospective randomized study.

Knee Surg Sports Traumatol Arthrosc. 2017-6

[4]
The Utility of Increased Constraint in Primary Total Knee Arthroplasty for Obese Patients.

Orthop Clin North Am. 2016-1

[5]
Meaningful changes for the Oxford hip and knee scores after joint replacement surgery.

J Clin Epidemiol. 2014-10-31

[6]
No effect of obesity on limb and component alignment after computer-assisted total knee arthroplasty.

Knee. 2014-8

[7]
Total knee replacement in the obese patient: comparing computer assisted and conventional technique.

ScientificWorldJournal. 2014-1-9

[8]
Do long leg supine CT scanograms correlate with weight-bearing full-length radiographs to measure lower limb coronal alignment?

Knee. 2014-3

[9]
Obesity has a negative impact on clinical outcome after total knee arthroplasty.

Scand J Surg. 2012

[10]
Coronal alignment correlates with outcome after total knee arthroplasty: five-year follow-up of a randomized controlled trial.

J Arthroplasty. 2012-8-3

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