Outcomes of Anterior Cruciate Ligament Reconstruction in Obese and Overweight Patients
| Autor: | Craig H. Bennett, Denis Cherkalin, Elizabeth Glazier, Kevin J. DiSilvestro, Ralph Frank Henn, Julio J. Jauregui, Jonathan D. Packer |
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| Rok vydání: | 2017 |
| Předmět: |
Reoperation
medicine.medical_specialty Anterior cruciate ligament reconstruction Anterior cruciate ligament medicine.medical_treatment Arthritis Physical Therapy Sports Therapy and Rehabilitation Osteoarthritis Overweight Lower risk Body Mass Index 03 medical and health sciences 0302 clinical medicine Internal medicine medicine Humans Orthopedics and Sports Medicine Obesity Patient Reported Outcome Measures 030222 orthopedics Anterior Cruciate Ligament Reconstruction business.industry Anterior Cruciate Ligament Injuries 030229 sport sciences Osteoarthritis Knee musculoskeletal system medicine.disease medicine.anatomical_structure medicine.symptom Complication business human activities Body mass index |
| Zdroj: | Clinical Journal of Sport Medicine. |
| ISSN: | 1050-642X |
| Popis: | OBJECTIVE To evaluate the mechanism of injury, outcomes, and complications of anterior cruciate ligament (ACL) reconstruction in overweight and obese patients. DATA SOURCES MEDLINE, EMBASE, and OVID electronic libraries were systematically searched from inception to December, 2017 for any eligible articles using a combination of the phrases "anterior cruciate ligament," "ACL," "overweight," "obese," and "BMI." RESULTS Studies that evaluated patients with primary ACL reconstruction, classified patients as overweight or obese, and reported a minimum of 1-year follow-up data were included. Eight cohorts from 9 studies fulfilled the inclusion criteria. There were no significant differences for mechanism of injury, Lysholm scores, Knee injury and Osteoarthritis Outcome Scores values, or return to sports with a body mass index (BMI) above or below 25 kg/m. A significant difference was described in International Knee Documentation Committee (IKDC) scores when comparing obese patients (BMI >30 kg/m) to patients with BMI 25 kg/m, the risk for arthritis was significantly higher but the risk for revision surgery or contralateral ACL tear was lower (P |
| Databáze: | OpenAIRE |
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