Intra-operative and short term outcome of total knee arthroplasty in morbidly obese patients

R.J. Napier; S. O'Brien; D. Bennett; E. Doran; A. Sykes; J. Murray; D.E. Beverland

doi:10.1016/j.knee.2014.02.016

Intra-operative and short term outcome of total knee arthroplasty in morbidly obese patients

R.J. Napier^*, S. O'Brien, D. Bennett, E. Doran, A. Sykes, J. Murray, D.E. Beverland

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

30 Citations (Scopus)

Abstract

Background
Longer operation times, poorer patient outcomes and increased early post-operative complications are reasons cited for not undertaking Total Knee Arthroplasty (TKA) on morbidly obese patients. This study tests the hypothesis that there is no difference in intra-operative parameters between morbidly obese and non-obese patients, and no difference in patient outcome.
Methods
Intra-operative parameters, post-operative complications, patient outcomes and knee range of motion were compared between morbidly obese patients (BMI > 40 kg/m2) and individually age and gender matched non-obese patients (BMI < 30 kg/m2) undergoing cementless rotating platform TKA.
Results
Anaesthetic times and length of hospital stay were not significantly different between the morbidly obese and non-obese patients. Surgical time was significantly greater in morbidly obese patients. Improvements in patient outcomes following TKA were not significantly different between the morbidly obese and non-obese patients at early and short-term follow-up

Original language	English
Pages (from-to)	784-788
Journal	Knee
Volume	21
Issue number	3
DOIs	https://doi.org/10.1016/j.knee.2014.02.016
Publication status	Published - 17 Mar 2014
Externally published	Yes

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title = "Intra-operative and short term outcome of total knee arthroplasty in morbidly obese patients",

abstract = "BackgroundLonger operation times, poorer patient outcomes and increased early post-operative complications are reasons cited for not undertaking Total Knee Arthroplasty (TKA) on morbidly obese patients. This study tests the hypothesis that there is no difference in intra-operative parameters between morbidly obese and non-obese patients, and no difference in patient outcome.MethodsIntra-operative parameters, post-operative complications, patient outcomes and knee range of motion were compared between morbidly obese patients (BMI > 40 kg/m2) and individually age and gender matched non-obese patients (BMI < 30 kg/m2) undergoing cementless rotating platform TKA.ResultsAnaesthetic times and length of hospital stay were not significantly different between the morbidly obese and non-obese patients. Surgical time was significantly greater in morbidly obese patients. Improvements in patient outcomes following TKA were not significantly different between the morbidly obese and non-obese patients at early and short-term follow-up",

author = "R.J. Napier and S. O'Brien and D. Bennett and E. Doran and A. Sykes and J. Murray and D.E. Beverland",

year = "2014",

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day = "17",

doi = "10.1016/j.knee.2014.02.016",

language = "English",

volume = "21",

pages = "784--788",

journal = "Knee",

issn = "0968-0160",

publisher = "Elsevier B.V.",

number = "3",

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TY - JOUR

T1 - Intra-operative and short term outcome of total knee arthroplasty in morbidly obese patients

AU - Napier, R.J.

AU - O'Brien, S.

AU - Bennett, D.

AU - Doran, E.

AU - Sykes, A.

AU - Murray, J.

AU - Beverland, D.E.

PY - 2014/3/17

Y1 - 2014/3/17

N2 - BackgroundLonger operation times, poorer patient outcomes and increased early post-operative complications are reasons cited for not undertaking Total Knee Arthroplasty (TKA) on morbidly obese patients. This study tests the hypothesis that there is no difference in intra-operative parameters between morbidly obese and non-obese patients, and no difference in patient outcome.MethodsIntra-operative parameters, post-operative complications, patient outcomes and knee range of motion were compared between morbidly obese patients (BMI > 40 kg/m2) and individually age and gender matched non-obese patients (BMI < 30 kg/m2) undergoing cementless rotating platform TKA.ResultsAnaesthetic times and length of hospital stay were not significantly different between the morbidly obese and non-obese patients. Surgical time was significantly greater in morbidly obese patients. Improvements in patient outcomes following TKA were not significantly different between the morbidly obese and non-obese patients at early and short-term follow-up

AB - BackgroundLonger operation times, poorer patient outcomes and increased early post-operative complications are reasons cited for not undertaking Total Knee Arthroplasty (TKA) on morbidly obese patients. This study tests the hypothesis that there is no difference in intra-operative parameters between morbidly obese and non-obese patients, and no difference in patient outcome.MethodsIntra-operative parameters, post-operative complications, patient outcomes and knee range of motion were compared between morbidly obese patients (BMI > 40 kg/m2) and individually age and gender matched non-obese patients (BMI < 30 kg/m2) undergoing cementless rotating platform TKA.ResultsAnaesthetic times and length of hospital stay were not significantly different between the morbidly obese and non-obese patients. Surgical time was significantly greater in morbidly obese patients. Improvements in patient outcomes following TKA were not significantly different between the morbidly obese and non-obese patients at early and short-term follow-up

U2 - 10.1016/j.knee.2014.02.016

DO - 10.1016/j.knee.2014.02.016

M3 - Article

SN - 0968-0160

VL - 21

SP - 784

EP - 788

JO - Knee

JF - Knee

IS - 3

ER -

Intra-operative and short term outcome of total knee arthroplasty in morbidly obese patients

Abstract

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