Better Outcomes in Severe and Morbid Obese Patients (BMI>35 kg/m2) in Primary Endo-Model Rotating-Hinge Total Knee Arthroplasty
The Endo-Model rotating-hinge prosthesis is preferably indicated as a primary implant in patients with advanced axial deviation of the lower limbs or unstable knees with severe bone defects. Outcomes were studied in 111 knees, operated in a three-year period; the mean followup was 28 months. Joint b...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | The Scientific World Journal |
| Online Access: | http://dx.doi.org/10.1100/2012/249391 |
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| author | Luis M. Lozano Vicente López José Ríos Dragos Popescu Pere Torner Félix Castillo Francisco Maculé |
| author_facet | Luis M. Lozano Vicente López José Ríos Dragos Popescu Pere Torner Félix Castillo Francisco Maculé |
| author_sort | Luis M. Lozano |
| collection | DOAJ |
| description | The Endo-Model rotating-hinge prosthesis is preferably indicated as a primary implant in patients with advanced axial deviation of the lower limbs or unstable knees with severe bone defects. Outcomes were studied in 111 knees, operated in a three-year period; the mean followup was 28 months. Joint balance enhancement and limbs mechanical axis correction were achieved after surgery. There were 6 deep infections and 16 patients referred postoperative anterior knee pain. WOMAC index scores disaggregated by gender and BMI showed better outcomes in obese patients (specifically, those with a BMI of 35–40 kg/m2) and in men. Although the lack of a control group did not allow definite conclusions and despite a nonnegligible complication rate, our results reveal that the Endo-Model total knee arthroplasty can be a useful tool to deal with severe and morbid obese patients affected of severe gonarthrosis associated with marked axial deviations, ligament instability, or bone defects. |
| format | Article |
| id | doaj-art-3e94acd07eaa4ede980b1226b14f72ae |
| institution | Kabale University |
| issn | 1537-744X |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Scientific World Journal |
| spelling | doaj-art-3e94acd07eaa4ede980b1226b14f72ae2025-02-03T05:59:15ZengWileyThe Scientific World Journal1537-744X2012-01-01201210.1100/2012/249391249391Better Outcomes in Severe and Morbid Obese Patients (BMI>35 kg/m2) in Primary Endo-Model Rotating-Hinge Total Knee ArthroplastyLuis M. Lozano0Vicente López1José Ríos2Dragos Popescu3Pere Torner4Félix Castillo5Francisco Maculé6Knee Surgery Unit, Orthopaedic Department, Hospital Clínic, Universitat de Barcelona, 08036 Barcelona, SpainKnee Surgery Unit, Orthopaedic Department, Hospital Clínic, Universitat de Barcelona, 08036 Barcelona, SpainLaboratory of Biostatistics & Epidemiology, Universitat Autonoma de Barcelona and IDIBAPS, 08036 Barcelona, SpainKnee Surgery Unit, Orthopaedic Department, Hospital Clínic, Universitat de Barcelona, 08036 Barcelona, SpainOrthopaedic Department, Consorci Sanitari Parc Taulí, 08208 Sabadell, SpainOrthopaedic Department, Hospital Dos de Maig, 08025 Barcelona, SpainKnee Surgery Unit, Orthopaedic Department, Hospital Clínic, Universitat de Barcelona, 08036 Barcelona, SpainThe Endo-Model rotating-hinge prosthesis is preferably indicated as a primary implant in patients with advanced axial deviation of the lower limbs or unstable knees with severe bone defects. Outcomes were studied in 111 knees, operated in a three-year period; the mean followup was 28 months. Joint balance enhancement and limbs mechanical axis correction were achieved after surgery. There were 6 deep infections and 16 patients referred postoperative anterior knee pain. WOMAC index scores disaggregated by gender and BMI showed better outcomes in obese patients (specifically, those with a BMI of 35–40 kg/m2) and in men. Although the lack of a control group did not allow definite conclusions and despite a nonnegligible complication rate, our results reveal that the Endo-Model total knee arthroplasty can be a useful tool to deal with severe and morbid obese patients affected of severe gonarthrosis associated with marked axial deviations, ligament instability, or bone defects.http://dx.doi.org/10.1100/2012/249391 |
| spellingShingle | Luis M. Lozano Vicente López José Ríos Dragos Popescu Pere Torner Félix Castillo Francisco Maculé Better Outcomes in Severe and Morbid Obese Patients (BMI>35 kg/m2) in Primary Endo-Model Rotating-Hinge Total Knee Arthroplasty The Scientific World Journal |
| title | Better Outcomes in Severe and Morbid Obese Patients (BMI>35 kg/m2) in Primary Endo-Model Rotating-Hinge Total Knee Arthroplasty |
| title_full | Better Outcomes in Severe and Morbid Obese Patients (BMI>35 kg/m2) in Primary Endo-Model Rotating-Hinge Total Knee Arthroplasty |
| title_fullStr | Better Outcomes in Severe and Morbid Obese Patients (BMI>35 kg/m2) in Primary Endo-Model Rotating-Hinge Total Knee Arthroplasty |
| title_full_unstemmed | Better Outcomes in Severe and Morbid Obese Patients (BMI>35 kg/m2) in Primary Endo-Model Rotating-Hinge Total Knee Arthroplasty |
| title_short | Better Outcomes in Severe and Morbid Obese Patients (BMI>35 kg/m2) in Primary Endo-Model Rotating-Hinge Total Knee Arthroplasty |
| title_sort | better outcomes in severe and morbid obese patients bmi 35 kg m2 in primary endo model rotating hinge total knee arthroplasty |
| url | http://dx.doi.org/10.1100/2012/249391 |
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