Relationship between early outcomes of physiotherapy after total knee replacement and Body Mass Index (BMI)
Keywords:
total knee arthroplasty, Knee Society Score (KSS), BMIAbstract
Background: We undertook to study the dependency between the Body Mass Index (BMI) and early results of physiotherapy after total knee replacement.
Material and Methods: Our research involved 19 patients after total knee replacement. The clinical and functional outcomes of 13 obese patients with BMI > 29,9 were compared with the results of a matched group of 6 patients with BMI ≤ 29,9. The Knee Society Score and 6 Minutes Walking Test were used to assess function of patient and function of operated knee. The patients were examined twice: at baseline before the surgery and 4 weeks after surgery, as follow-up.
Results: There was a statistically significant increase of KSS scores after surgery in all patients. Average increase was 35,7 scores in obese patients and 44,1 scores in nonobese patients. There wasn’t a statistically significant difference between obese and nonobese patients in postoperative KSS scores. There wasn’t significant increase of distance and average walking speed 4 weeks after surgery. We observed shortening of resting time in walking test in both groups of patients but in nonobese patients it was significant by shorter.
Conclusions: There was a significant improvement of clinical state in all patients after total knee arthroplasty and physiotherapy. There wasn’t statistically significant correlation between obesity and early results of physiotherapy after total knee replacement.
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Hamoui N., Kantor S., Vince K., Crookes PF.: Long-term outcome of total knee replacement: does obesity matter?, Obes Surg; 16 (1) : 35.
Jared R.H. Foran, BA, Michael A. Mont, MD, Gracia Etienne, MD, PhD, Lynne C. Jones, PhD, David S. Hungerford, MD: The Outcome of Total Knee Arthroplasty in Obese Patients, The Journal of Bone and Joint Surgery ;2004, 86:1609.
Stickles B., Phillips L., Brox W., Owens B., Lanzer W.: Defining the Relationship between Obesity and Total Joint Arthroplasty, Obesity Research; 2001, 9:219.
Winiarsky R., M.D., Barth P., C.R.C., Lotke P., M.D.: Total Knee Arthroplasty in Morbidly Obese Patients, The Journal of Bone and Joint Surgery; 1998, 80:1770.
Aglietti, P., Rinonapoli E.: Total condylar knee arthroplasty. A five-year follow-up study of 33 knees. Clin. Orthop.; 1994, 186: 104.
Ahlberg A., Lundén A.: Secondary operations after knee joint replacement. Clin. Orthop.;1981, 156: 170.
Insall J., Dorr L, Scott R., Scott N.: Rationale of Knee Society Clinical Rating System. 1989, Clin. Orthop.; 248:13.
Benjamin J; Johnson R; Porter S.: Knee scores change with length of follow-up after total knee arthroplasty. J Arthroplasty 2003; 18 (7): 867.
Mont MA, Mathur SK, Krackow KA, Loewy JW.: Hungerford DS., Cementless total knee arthroplasty in obese patients. A comparison with a matched control group J Arthroplasty, 1996, 11(2):153.
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