Guarav Punit, Inuganti Rohit, P Revanth, Paleti Sravya Teja
AlluriSitaramaraju Academy of Medical Sciences, Eluru, West Godavari District, Andhra Pradesh, 534005, India.
Department of Orthopaedics, AlluriSitaramaraju Academy of Medical Sciences, Eluru, West Godavari District, Andhra Pradesh, 534005, India.
J Clin Orthop Trauma. 2024 Aug 10;55:102512. doi: 10.1016/j.jcot.2024.102512. eCollection 2024 Aug.
Over the past 20 years, there has been an increase in demand for complete knee replacements, and this trend is predicted to continue. It has been shown that being overweight is a risk factor for knee osteoarthritis. There are only a few studies on this in India and none on South Indian patients, Therefore, our goal was to evaluate how BMI affected functional outcomes after primary total knee replacement.
To determine the impact of body mass index (BMI) on functional outcomes after primary total knee replacement.
ology: Patients who underwent total knee replacement between November 2021 and November 2023 were included in the study. Patients were divided into groups based on BMI. Group I patients have a BMI less than 25, and group II patients of BMI greater than 25. International Knee Society scoring(IKSS) is used to assess patients Preoperatively and postoperatively.
Out of 185 patients, 70 were males and 115 were females. When IKSS scores were analyzed the mean Knee score before surgery in Group 1 was 24.58 and in Group 2 it was 16.64. After 1 year follow up the mean scores were 68.5 and 57.5 respectively. When analyzed with functional score the pre-op scores for groups 1 and 2 were 32.58 and 23.44 respectively and post-op scores after one-year follow-up were 71.17 and 51.7 respectively.
BMI does have a positive correlation with both preoperative and postoperative scores. A weight-loss programme can be discussed with the patients presenting the results of this study.
在过去20年中，全膝关节置换术的需求有所增加，并且这一趋势预计将持续。已表明超重是膝关节骨关节炎的一个风险因素。在印度，关于这方面的研究较少，且没有针对南印度患者的研究。因此，我们的目标是评估体重指数（BMI）如何影响初次全膝关节置换术后的功能结果。
确定体重指数（BMI）对初次全膝关节置换术后功能结果的影响。
本研究纳入了2021年11月至2023年11月期间接受全膝关节置换术的患者。患者根据BMI分组。第一组患者的BMI小于25，第二组患者的BMI大于25。采用国际膝关节协会评分（IKSS）对患者进行术前和术后评估。
在185例患者中，男性70例，女性115例。分析IKSS评分时，第一组术前膝关节平均评分为24.58，第二组为16.64。随访1年后，平均评分分别为68.5和57.5。分析功能评分时，第一组和第二组术前评分分别为32.58和23.44，随访1年后术后评分分别为71.17和51.7。
BMI与术前和术后评分均呈正相关。可以根据本研究结果与患者讨论减肥计划。
