Tags

Type your tag names separated by a space and hit enter

The influence of obesity on functional outcome and quality of life after total knee arthroplasty: a ten-year follow-up study.
Bone Joint J. 2018 05 01; 100-B(5):579-583.BJ

Abstract

Aims

This study investigated the influence of body mass index (BMI) on patients' function and quality of life ten years after total knee arthroplasty (TKA).

Patients and Methods

A total of 126 patients who underwent unilateral TKA in 2006 were prospectively included in this retrospective study. They were categorized into two groups based on BMI: < 30 kg/m2 (control) and ≥ 30 kg/m2 (obese). Functional outcome was assessed using the Knee Society Function Score (KSFS), Knee Society Knee Score (KSKS), and Oxford Knee Score (OKS). Quality of life was assessed using the Physical (PCS) and Mental Component Scores (MCS) of the 36-Item Short-Form Health Survey.

Results

Results Patients in the obese group underwent TKA at a younger age (mean, 63.0 years, sd 8.0) compared with the control group (mean, 65.6 years, sd 7.6; p = 0.03). Preoperatively, both groups had comparable functional and quality-of-life scores. Ten years postoperatively, the control group had significantly higher OKS and MCS compared with the obese group (OKS, mean 18 (sd 5) vs mean 22 (sd 10), p = 0.03; MCS, mean 56 (sd 10) vs mean 50 (sd 11), p = 0.01). After applying multiple linear regression with the various outcomes scores as dependent variables and age, gender, and Charlson Comorbidity Index as independent variables, there was a clear association between obesity and poorer outcome in KSFS, OKS, and MCS at ten years postoperatively (p < 0.01 in both KSFS and OKS, and p = 0.03 in MCS). Both groups had a high satisfaction rate (97.8% in the control group vs 87.9% in the obese group, p = 0.11) and fulfillment of expectations at ten years (98.9% in the control group vs 100% in the obese group, p = 0.32).

Conclusion

Although both obese and non-obese patients have significant improvements in function and quality of life postoperatively, obese patients tend to have smaller improvements in the OKS and MCS ten years postoperatively. It is important to counsel patients on the importance of weight management to achieve a more sustained outcome after TKA. Cite this article: Bone Joint J 2018;100-B:579-83.

Authors+Show Affiliations

Singapore General Hospital, Singapore.Singapore General Hospital, Singapore.Singapore General Hospital, Singapore.Singapore General Hospital, Singapore.Singapore General Hospital, Singapore.No affiliation info availableSingapore General Hospital, Singapore.Singapore General Hospital, Singapore.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

29701098

Citation

Xu, S, et al. "The Influence of Obesity On Functional Outcome and Quality of Life After Total Knee Arthroplasty: a Ten-year Follow-up Study." The Bone & Joint Journal, vol. 100-B, no. 5, 2018, pp. 579-583.
Xu S, Chen JY, Lo NN, et al. The influence of obesity on functional outcome and quality of life after total knee arthroplasty: a ten-year follow-up study. Bone Joint J. 2018;100-B(5):579-583.
Xu, S., Chen, J. Y., Lo, N. N., Chia, S. L., Tay, D. K. J., Pang, H. N., Hao, Y., & Yeo, S. J. (2018). The influence of obesity on functional outcome and quality of life after total knee arthroplasty: a ten-year follow-up study. The Bone & Joint Journal, 100-B(5), 579-583. https://doi.org/10.1302/0301-620X.100B5.BJJ-2017-1263.R1
Xu S, et al. The Influence of Obesity On Functional Outcome and Quality of Life After Total Knee Arthroplasty: a Ten-year Follow-up Study. Bone Joint J. 2018 05 1;100-B(5):579-583. PubMed PMID: 29701098.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The influence of obesity on functional outcome and quality of life after total knee arthroplasty: a ten-year follow-up study. AU - Xu,S, AU - Chen,J Y, AU - Lo,N N, AU - Chia,S L, AU - Tay,D K J, AU - Pang,H N, AU - Hao,Y, AU - Yeo,S J, PY - 2018/4/28/entrez PY - 2018/4/28/pubmed PY - 2018/5/17/medline KW - Expectation KW - Functional outcome KW - Long-term outcome KW - Obesity KW - Quality of life KW - Satisfaction KW - Total knee arthroplasty SP - 579 EP - 583 JF - The bone & joint journal JO - Bone Joint J VL - 100-B IS - 5 N2 - Aims: This study investigated the influence of body mass index (BMI) on patients' function and quality of life ten years after total knee arthroplasty (TKA). Patients and Methods: A total of 126 patients who underwent unilateral TKA in 2006 were prospectively included in this retrospective study. They were categorized into two groups based on BMI: < 30 kg/m2 (control) and ≥ 30 kg/m2 (obese). Functional outcome was assessed using the Knee Society Function Score (KSFS), Knee Society Knee Score (KSKS), and Oxford Knee Score (OKS). Quality of life was assessed using the Physical (PCS) and Mental Component Scores (MCS) of the 36-Item Short-Form Health Survey. Results: Results Patients in the obese group underwent TKA at a younger age (mean, 63.0 years, sd 8.0) compared with the control group (mean, 65.6 years, sd 7.6; p = 0.03). Preoperatively, both groups had comparable functional and quality-of-life scores. Ten years postoperatively, the control group had significantly higher OKS and MCS compared with the obese group (OKS, mean 18 (sd 5) vs mean 22 (sd 10), p = 0.03; MCS, mean 56 (sd 10) vs mean 50 (sd 11), p = 0.01). After applying multiple linear regression with the various outcomes scores as dependent variables and age, gender, and Charlson Comorbidity Index as independent variables, there was a clear association between obesity and poorer outcome in KSFS, OKS, and MCS at ten years postoperatively (p < 0.01 in both KSFS and OKS, and p = 0.03 in MCS). Both groups had a high satisfaction rate (97.8% in the control group vs 87.9% in the obese group, p = 0.11) and fulfillment of expectations at ten years (98.9% in the control group vs 100% in the obese group, p = 0.32). Conclusion: Although both obese and non-obese patients have significant improvements in function and quality of life postoperatively, obese patients tend to have smaller improvements in the OKS and MCS ten years postoperatively. It is important to counsel patients on the importance of weight management to achieve a more sustained outcome after TKA. Cite this article: Bone Joint J 2018;100-B:579-83. SN - 2049-4408 UR - https://www.unboundmedicine.com/medline/citation/29701098/The_influence_of_obesity_on_functional_outcome_and_quality_of_life_after_total_knee_arthroplasty:_a_ten_year_follow_up_study_ L2 - https://online.boneandjoint.org.uk/doi/full/10.1302/0301-620X.100B5.BJJ-2017-1263.R1?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -