Midto long-term complications and outcome for morbidly obese patients after total knee arthroplasty: A systematic review and meta-analysis
Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
Dokumenter
- Fulltext
Forlagets udgivne version, 1,77 MB, PDF-dokument
Purpose: Due to substantial increase in obesity, the demand for total knee arthroplasty (TKA) in obese and morbidly obese patients is higher than ever. This review aims to investigate midto long-term complications, revision rates, and outcome for morbidly obese, compared with non-obese after TKA. Methods: A systematic search was conducted in May 2021. Included studies reported revision rates for morbidly obese and non-obese with a mean follow-up of at least 2 years. Reported knee society score (KSS) has been used to compare the functional outcome. PRISMA protocol was followed, and PROSPERO registered (ID: CRD42021254119). Results: From 12 studies that met the inclusion criteria, a total of 1031 cases of morbidly obese and 9797 cases of non-obese controls were included. The risk ratio for revision was 1.48 for the morbidly obese, compared with non-obese (95% CI: 0.98 to 2.24; P= 0.06). Regarding aseptic and septic revision, the risk ratio was 1.44 (95% CI: 0.64 to 3.25; P= 0.37) and 2.22 (95% CI: 0.89 to 5.57; P= 0.09), respectively. The morbidly obese scored lower in Objective Knee Society Score (OKSS) and Functional Knee Society Score (FKSS) both preoperatively and postoperatively, compared with the non-obese; however, the two groups improved equally in function scores OKSS (P= 0.967) and FKSS (P= 0.834). Overall risk ratio for complications was 1.56 (95% CI: 0.98 to 2.48; P= 0.06). Conclusions: The gained benefit in functional outcome surpasses the increase in risk of revision and complications for the morbidly obese in TKA surgery.
Originalsprog | Engelsk |
---|---|
Tidsskrift | EFORT Open Reviews |
Vol/bind | 7 |
Udgave nummer | 5 |
Sider (fra-til) | 295-304 |
Antal sider | 10 |
ISSN | 2396-7544 |
DOI | |
Status | Udgivet - 2022 |
Bibliografisk note
Funding Information:
Funding Statement This work did not receive any specific grant from any funding agency in the public, commercial, or not-for-profit sector.
Publisher Copyright:
© 2022. The authors
ID: 313868044