A critical review of weight loss recommendations before total knee arthroplasty.

Arthroplasty, Replacement, Knee / adverse effects Body Mass Index Humans Obesity / epidemiology Osteoarthritis, Knee / surgery Weight Loss
Body composition Body mass index (BMI) Joint arthroplasty Knee osteoarthritis Obesity TKA Weight loss

Journal

Joint bone spine
ISSN: 1778-7254
Titre abrégé: Joint Bone Spine
Pays: France
ID NLM: 100938016

Informations de publication

Date de publication:
03 2021
Historique:
received: 24 08 2020
accepted: 13 11 2020
pubmed: 6 12 2020
medline: 29 6 2021
entrez: 5 12 2020
Statut: ppublish

Résumé

Increased infection risk after total knee arthroplasty (TKA) in patients with a higher body mass index (BMI), particularly a BMI ≥40kg/m Medline and CINAHL databases were examined from Jan 2010 to May 2020 to identify high-level and/or clinically-influential evidence (systematic reviews, meta-analyses and clinical practice guidelines). The literature does not show a clear relationship between weight loss and reduction in TKA complications, and no indication that a patients' individual risk is lowered by reducing their BMI from a threshold of ≥40kg/m Evidence to support a benefit of weight loss prior to TKA is lacking. Until knowledge gaps are clarified, it is recommended that practitioners consider individual patient needs and risk before recommending weight loss (and therefore BMI reduction).

Identifiants

DOI: 10.1016/j.jbspin.2020.105114 PMID: 33278590
pubmed: 33278590
pii: S1297-319X(20)30221-9
doi: 10.1016/j.jbspin.2020.105114
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

105114

Informations de copyright

Copyright © 2020 Société française de rhumatologie. Published by Elsevier Masson SAS. All rights reserved.

Auteurs

Kristine Godziuk (K)

Department of Occupational Therapy, Faculty of Rehabilitation Medicine, University of Alberta, 8205 - 114 Street, 2-64 Corbett Hall, T6G 2G4 Edmonton, AB, Canada. Electronic address: godziuk@ualberta.ca.

Carla M Prado (CM)

Department of Agricultural, Food and Nutritional Science, Faculty of Agricultural, Life and Environmental Sciences, University of Alberta, Edmonton, AB, Canada.

Lauren Beaupre (L)

Department of Physical Therapy, Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, AB, Canada.

C Allyson Jones (CA)

Department of Physical Therapy, Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, AB, Canada.

Jason R Werle (JR)

Section of Orthopaedic Surgery, Department of Surgery, University of Calgary, Calgary, AB, Canada.

Mary Forhan (M)

Department of Occupational Therapy, Faculty of Rehabilitation Medicine, University of Alberta, 8205 - 114 Street, 2-64 Corbett Hall, T6G 2G4 Edmonton, AB, Canada.

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Classifications MeSH

questionsmedicales.fr › Procédures de chirurgie opératoire › Implantation de prothèse › Arthroplastie prothétique › Arthroplastie prothétique de genou › A critical review of weight loss...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Mesures épidémiologiques › Biométrie › Anthropométrie › Indice de masse corporelle › A critical review of weight loss...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › A critical review of weight loss...
questionsmedicales.fr › États, signes et symptômes pathologiques › Signes et symptômes › Obésité › A critical review of weight loss...
questionsmedicales.fr › Maladies ostéomusculaires › Arthrose › Gonarthrose › A critical review of weight loss...
questionsmedicales.fr › Phénomènes physiologiques › Croissance et développement › Croissance › Mensurations corporelles › Poids › Modifications du poids corporel › Perte de poids › A critical review of weight loss...