Is Obesity a Contraindication to Bilateral Total Knee Arthroplasties Under One Anesthetic?
| Autor: | Paul Ballesteros, James B. Benjamin, Todd Tucker |
|---|---|
| Rok vydání: | 2001 |
| Předmět: |
Male
musculoskeletal diseases medicine.medical_specialty medicine.medical_treatment Comorbidity Prosthesis medicine Humans Orthopedics and Sports Medicine Obesity Arthroplasty Replacement Knee Contraindication business.industry Contraindications Incidence (epidemiology) Surgical wound General Medicine Osteoarthritis Knee medicine.disease Surgery Anesthesia Orthopedic surgery Female Complication business Body mass index |
| Zdroj: | Clinical Orthopaedics and Related Research. 392:190-195 |
| ISSN: | 0009-921X |
| Popis: | Three-hundred sixteen patients who underwent 405 primary knee replacements between January 1994 and June 1999 were reviewed for the incidence of local wound and systemic complications after unilateral and simultaneous bilateral total knee arthroplasties. A body mass index of 30 or greater was used to define obesity, and patients were divided into four groups based on obesity and whether they were undergoing unilateral or bilateral total knee arthroplasties. Preoperative and postoperative knee scores were not significantly different for any patient group. Local wound complication rates did not differ between any of the study groups. Patients who were not obese who underwent unilateral total knee arthroplasty had lower systemic complication rates (3%) than the other groups; however, there was no significant difference in complication rates between patients with obesity who underwent unilateral or simultaneous bilateral total knee arthroplasties. Based on these findings, obesity does not seem to be a contraindication to bilateral total knee arthroplasties under one anesthetic. |
| Databáze: | OpenAIRE |
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