دورية أكاديمية
أعرض في EDS

A comparative prospective study between stemmed versus an unstemmed tibial component in total knee arthroplasty in obese patients.

التفاصيل البيبلوغرافية
العنوان: A comparative prospective study between stemmed versus an unstemmed tibial component in total knee arthroplasty in obese patients.
المؤلفون: Elzohairy MM; Faculty of Medicine, Zagazig University, Zagazig city, 4451, Ash Sharqia Governorate, Egypt. elzohairy.me@gmail.com., Elaidy SM; Faculty of Medicine, Zagazig University, Zagazig city, 4451, Ash Sharqia Governorate, Egypt., Attia ME; Faculty of Medicine, Zagazig University, Zagazig city, 4451, Ash Sharqia Governorate, Egypt.
المصدر: European journal of orthopaedic surgery & traumatology : orthopedie traumatologie [Eur J Orthop Surg Traumatol] 2021 May; Vol. 31 (4), pp. 695-703. Date of Electronic Publication: 2020 Oct 30.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Springer-Verlag France Country of Publication: France NLM ID: 9518037 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1432-1068 (Electronic) Linking ISSN: 16338065 NLM ISO Abbreviation: Eur J Orthop Surg Traumatol Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Paris : Springer-Verlag France
مواضيع طبية MeSH: Arthroplasty, Replacement, Knee* , Knee Prosthesis*, Humans ; Knee Joint/surgery ; Obesity/complications ; Prospective Studies ; Prosthesis Design ; Quality of Life ; Retrospective Studies ; Treatment Outcome
مستخلص: Background: There is no consensus in the literature regarding the patients with obesity who do well with TKA, or this group is at risk of a variety of complications. Implant choices between the two types of implants which either long or standard stem can improve the likelihood that a patient with obesity will achieve high scores for function and quality of life after TKA.
Methods: This prospective clinical study included 200 patients who were categorized into two groups: group (1) traditional (standard) unstemmed cemented tibial tray (n = 100 patients) and group (2) stemmed cemented tibial tray with the cementless press-fit stem (n = 100 patients).
Results: The average follow-up was (7.6 ± 1 years) (range from 6.5 up to 10 years). The average age of the stemmed group was 55.69 ± 8.45 and for the unstemmed group was 57.3 ± 7.8. The average BMI for the stemmed patients was 38.84 ± 3.89, while for the standard (unstemmed) group was 40.0 ± 3.95. Functional results showed significant improvement in both groups but more in the stemmed group (LS) as the difference and change between pre and post were more significant at long stem (P > 0.001).
Conclusion: Based on our results, there were significant improvements in both groups either stemmed or unstemmed TKA but more in the stemmed group which had higher functional outcomes compared to the unstemmed group.
Level of Evidence: IV.
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فهرسة مساهمة: Keywords: Obese patients; Stemmed; Tibial component; Total knee arthroplasty; Unstemmed; Versus
تواريخ الأحداث: Date Created: 20201031 Date Completed: 20210818 Latest Revision: 20210818
رمز التحديث: 20221213
DOI: 10.1007/s00590-020-02816-x
PMID: 33128138
قاعدة البيانات: MEDLINE
الوصف
تدمد:1432-1068
DOI:10.1007/s00590-020-02816-x