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Journal of Long-Term Effects of Medical Implants

年間 4 号発行

ISSN 印刷: 1050-6934

ISSN オンライン: 1940-4379

SJR: 0.184 SNIP: 0.485 CiteScore™:: 1.1 H-Index: 39

Indexed in

Early Results of Total Hip Arthroplasty in the Super-Obese Patients

巻 23, 発行 4, 2013, pp. 309-313
DOI: 10.1615/JLongTermEffMedImplants.2013010098
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要約

The purpose of this study was to assess the outcomes of primary total hip arthroplasty (THA) in super-obese patients compared to a cohort who had a normal body mass index (BMI). Twenty patients (23 hips) who had a minimum BMI of 50 kg/m2 who underwent a primary THA between 2001 and 2010 were reviewed. They had a mean age of 50 years and follow-up of 36 months. These patients were compared (1:2 ratio) to a matched group of 40 patients (46 hips) who had a normal body mass index (less than 25 kg/m2) who underwent a THA during the same time period. Outcomes evaluated included implant survivorship, Harris hip scores, and complication rates. Overall, aseptic implant survivorship was lower in the super-obese patients compared to the matching group (96% versus 100%), but the difference was not significant. However, super-obese patients had significantly lower mean Harris hip scores (84 vs 91 points) and higher complication rate at final follow-up. Although the clinical outcomes of primary total hip arthroplasty were poorer in the super-obese patients, it is encouraging that even in these patients, total hip arthroplasty can have acceptable outcomes. However, these patients may benefit from a discussion with their orthopaedic surgeons to develop realistic expectations from the outcomes of their arthroplasty procedure.

によって引用された
  1. Ninomiya James T., Dean John C., Incavo Stephen J., What’s New in Hip Replacement, Journal of Bone and Joint Surgery, 97, 18, 2015. Crossref

  2. Robinson Raymond Paul, What Will We Do Now with the Super-Obese Patient Undergoing Total Hip Arthroplasty?, Journal of Bone and Joint Surgery, 98, 3, 2016. Crossref

  3. Issa Kimona, Harwin Steven F., Malkani Arthur L., Bonutti Peter M., Scillia Anthony, Mont Michael A., Bariatric Orthopaedics: Total Hip Arthroplasty in Super-Obese Patients (Those with a BMI of ≥50 kg/m2), Journal of Bone and Joint Surgery, 98, 3, 2016. Crossref

  4. Onggo J.R., Onggo J.D., de Steiger R., Hau R., Greater risks of complications, infections, and revisions in the obese versus non-obese total hip arthroplasty population of 2,190,824 patients: a meta-analysis and systematic review, Osteoarthritis and Cartilage, 28, 1, 2020. Crossref

  5. Ponnusamy Karthikeyan E., Somerville Lyndsay, McCalden Richard W., Marsh Jacquelyn, Vasarhelyi Edward M., Revision Rates and Functional Outcome Scores for Severely, Morbidly, and Super-Obese Patients Undergoing Primary Total Hip Arthroplasty, JBJS Reviews, 7, 4, 2019. Crossref

  6. Harwin Steven F., Wu Eddie S., Cherian Jeffrey J., Jauregui Julio J., Robinson Kristin, Harwin Steven F., Mont Michael A., Patient-Reported Outcomes Following Total Hip Arthroplasty Stratified by Body Mass Index, Orthopedics, 39, 3, 2016. Crossref

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