Unicompartmental Knee Replacement in Obese Patients: A Systematic Review and Meta-Analysis.
body mass index
infections
obesity
revisions
unicompartmental knee replacement
Journal
Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588
Informations de publication
Date de publication:
15 Aug 2021
15 Aug 2021
Historique:
received:
30
06
2021
revised:
01
08
2021
accepted:
09
08
2021
entrez:
27
8
2021
pubmed:
28
8
2021
medline:
28
8
2021
Statut:
epublish
Résumé
Thanks to modern surgical techniques and implants, traditional exclusion criteria for unicompartmental knee arthroplasty (UKA) are no longer considered contraindications. The aim of this study is to clarify the impact of obesity on functional outcomes and revision rates of UKA. We performed a comprehensive systematic review using PubMed-Medline, Google Scholar and Cochrane Central. Then, we extracted data related to body mass index (BMI), age and follow-up, functional outcome scores and rate of revisions (all-cause, aseptic and septic). Patients were stratified according to BMI into two groups: non-obese (BMI < 30) and obese (BMI ≥ 30). We identified 22 eligible studies, of which 13 were included in the meta-analysis. Patients with a BMI > 30 had a significantly higher likelihood for revision (
Identifiants
pubmed: 34441889
pii: jcm10163594
doi: 10.3390/jcm10163594
pmc: PMC8397050
pii:
doi:
Types de publication
Journal Article
Review
Langues
eng
Références
J Orthop Surg Res. 2009 Oct 26;4:39
pubmed: 19857264
J Orthop Surg (Hong Kong). 2017 Jan 1;25(1):2309499016684297
pubmed: 28366049
J Arthroplasty. 2017 Jun;32(6):1792-1797
pubmed: 28215968
J Arthroplasty. 2002 Jun;17(4 Suppl 1):54-5
pubmed: 12068405
Knee Surg Sports Traumatol Arthrosc. 2015 Dec;23(12):3494-500
pubmed: 25063489
Knee. 2010 Jan;17(1):48-52
pubmed: 19716706
J Orthop Surg Res. 2019 Aug 22;14(1):266
pubmed: 31439046
Arch Orthop Trauma Surg. 2009 Apr;129(4):463-8
pubmed: 18414881
J Arthroplasty. 2016 Dec;31(12):2668-2671
pubmed: 27480824
J Knee Surg. 2021 Mar;34(4):427-433
pubmed: 31505699
ANZ J Surg. 2003 Sep;73(9):712-6
pubmed: 12956787
Orthopedics. 2007 May;30(5 Suppl):19-23
pubmed: 17549861
Knee Surg Sports Traumatol Arthrosc. 2020 Oct 16;:
pubmed: 33064192
J Arthroplasty. 2016 Nov;31(11):2617-2627
pubmed: 27172863
J Bone Joint Surg Br. 2010 Dec;92(12):1628-31
pubmed: 21119165
J Arthroplasty. 2020 Apr;35(4):989-996
pubmed: 31796233
Acta Orthop Traumatol Turc. 2014;48(2):122-6
pubmed: 24747617
Knee Surg Sports Traumatol Arthrosc. 2015 Jun;23(6):1748-55
pubmed: 25160471
J Arthroplasty. 2011 Dec;26(8):1149-53
pubmed: 21256695
Arthritis Rheum. 2009 Mar 15;61(3):329-35
pubmed: 19248122
Lancet. 2014 Oct 18;384(9952):1437-45
pubmed: 25012116
J Knee Surg. 2012 Nov;25(5):369-73
pubmed: 23150345
J Arthroplasty. 2009 Sep;24(6 Suppl):89-94, 94.e1-3
pubmed: 19576727
J Bone Joint Surg Br. 2010 Apr;92(4):513-20
pubmed: 20357327
Clin Orthop Relat Res. 2005 Nov;440:60-6
pubmed: 16239785
J Arthroplasty. 2016 Feb;31(2):356-61
pubmed: 26476471
J Clin Orthop Trauma. 2018 Jan-Mar;9(1):17-23
pubmed: 29628678
J Bone Joint Surg Am. 1989 Jan;71(1):145-50
pubmed: 2643607
Knee Surg Sports Traumatol Arthrosc. 2021 Apr 17;:
pubmed: 33864470
J Bone Joint Surg Br. 2011 May;93(5):622-8
pubmed: 21511927
Knee Surg Sports Traumatol Arthrosc. 2018 May;26(5):1455-1464
pubmed: 28032123
Indian J Orthop. 2019 May-Jun;53(3):442-445
pubmed: 31080285
J Bone Joint Surg Br. 2011 Feb;93(2):198-204
pubmed: 21282759
Int Orthop. 2019 Jun;43(6):1365-1370
pubmed: 30426179
JBJS Rev. 2019 Jul;7(7):e9
pubmed: 31365448
Knee Surg Sports Traumatol Arthrosc. 2017 Mar;25(3):681-686
pubmed: 26590566
Bone Joint J. 2016 Oct;98-B(10 Supple B):28-33
pubmed: 27694513
Acta Orthop Belg. 2015 Dec;81(4):776-83
pubmed: 26790804
Knee Surg Sports Traumatol Arthrosc. 2017 Mar;25(3):645-651
pubmed: 25863681
Clin Orthop Relat Res. 2006 Dec;453:142-6
pubmed: 17016221
Bone Joint J. 2013 Aug;95-B(8):1064-8
pubmed: 23908421
Am J Med. 1999 Dec;107(6):542-8
pubmed: 10625021
J Arthroplasty. 2013 Oct;28(9):1561-4
pubmed: 23523214
Bone Joint J. 2019 Feb;101-B(2):213-220
pubmed: 30700121
Knee. 2013 Dec;20(6):461-5
pubmed: 23110877
Knee Surg Sports Traumatol Arthrosc. 2019 Jul;27(7):2259-2265
pubmed: 30361754
J Arthroplasty. 2015 Mar;30(3):456-60
pubmed: 25453628
Arthritis Rheum. 2005 Jul;52(7):2026-32
pubmed: 15986358
Int J Obes (Lond). 2021 Apr;45(4):715-724
pubmed: 33214703