The Impact of Obesity on Joint Health and Outcomes after Joint Replacement Surgery
DOI:
https://doi.org/10.61919/jhrr.v4i2.993Keywords:
Joint health, Joint replacement surgery, Obesity, Osteoarthritis, Surgical outcomesAbstract
Background: Obesity represents a significant general health concern worldwide, with its prevalence steadily increasing over ongoing decades.
Objectives: The main objective of the study is to find the impact of obesity on joint health and outcomes after joint replacement surgery.
Methodology of the study: This retrospective study was conducted at Services Hospital Lahore from January 2022 to August 2022. Data were collected from 185 obese patients who were suffering from joint pain. Patients with confirmed diagnosis of osteoarthritis (OA) or other degenerative joint diseases requiring joint replacement surgery were included for the study. Medical records of eligible patients were retrospectively reviewed to extract relevant demographic, clinical, and surgical information, including age, sex, body mass index (BMI), comorbidities, joint pathology, surgical approach, intraoperative findings, complications, and postoperative outcomes.
Results: Data were collected from 185 patients from both genders. Mean age of the patients was 58.89±2.35 years. Out of 185 there were 111 female and 74 male patients. 60% of the patients undergoes TKA and 40% THA. The study included 185 patients undergoing joint replacement surgery, with 40.5% classified as obese (BMI ≥ 30 kg/m²) and 59.5% as non-obese (BMI < 30 kg/m²). This distribution highlights the prevalence of obesity in the study population, underscoring its significance as a key factor in joint health and outcomes following surgery.
Conclusion: It is concluded that obese patients undergoing joint replacement surgery may face higher risks of surgical complications, functional impairments, and joint problems, the procedure remains effective in restoring function and enhancing quality of life.
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References
Baum, G., Jacobs, H., Lazovic, D. et al. The influence of obesity on functional outcomes and patient satisfaction 8 weeks after total knee arthroplasty: results of the prospective FInGK study. BMC MusculoskeletDisord 23, 949 (2022). https://doi.org/10.1186/s12891-022-05874-w
Clement N, Bardgett M, Weir D, Holland J, Gerrand C, Deehan D. What is the Minimum Clinically Important Difference for the WOMAC Index After TKA? Clinical orthopaedics and related research. 2018;476(10).
Halawi M, Allen D, Baron S, Savoy L, Williams V, Cote M. Tobacco Smoking Independently Predicts Lower Patient-Reported Outcomes: New Insights on a Forgotten Epidemic. The Journal of arthroplasty. 2019;34(7S).
Dowsey MM, Spelman T, Choong PFM. Development of a Prognostic Nomogram for Predicting the Probability of Nonresponse to Total Knee Arthroplasty 1 Year After Surgery. J Arthroplast. 2016;31(8):1654–60.
Tolk JJ, Janssen RPA, Haanstra TM, Bierma-Zeinstra SMA, Reijman M. The EKSPECT study: the influence of Expectation modification in Knee arthroplasty on Satisfaction of PatiEnts: study protocol for a randomized Controlled Trial. Trials. 2018;19(1).
Kayaalp ME, Keller T, Fitz W, Scuderi GR, Becker R. Translation and Validation of the German New Knee Society Scoring System. Clin OrthopRelat Res. 2019;477(2):383–92.
Jacobs H, Hoffmann F, Lazovic D, Maus U, Seeber GH. Use of Physiotherapy Prior to Total Knee Arthroplasty—Results of the Prospective FInGK Study. Healthcare. 2022;10(2):407.
Roger C, Debuyzer E, Dehl M, Bulaïd Y, Lamrani A, Havet E, et al. Factors associated with hospital stay length, discharge destination, and 30-day readmission rate after primary hip or knee arthroplasty: Retrospective Cohort Study. Orthopaedics & Traumatology: Surgery & Research. 2019;105(5):949 – 55.
Sj SX, Chen JY, Lo NN, Chia SL, Tay DKJ, 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. 2018;100-B(5).
Aggarwal VA, Sambandam SN, Wukich DK. The impact of obesity on total knee arthroplasty outcomes: A retrospective matched cohort study. J Clin Orthop Trauma. 2022 Aug 20;33:101987. doi: 10.1016/j.jcot.2022.101987. PMID: 36089991; PMCID: PMC9449637.
Kulkarni K., Karssiens T., Kumar V., Pandit H. Obesity and osteoarthritis. Maturitas. 2016 Jul;89:22–28. doi: 10.1016/j.maturitas.2016.04.006. Epub 2016 Apr 11. PMID: 27180156
Gkastaris K., Goulis D.G., Potoupnis M., Anastasilakis A.D., Kapetanos G. Obesity, osteoporosis and bone metabolism. J Musculoskelet Neuronal Interact. 2020 Sep 1;20(3):372–381. PMID: 32877973; PMCID: PMC7493444.
Martin J.R., Jennings J.M., Dennis D.A. Morbid obesity and total knee arthroplasty: a growing problem. J Am AcadOrthop Surg. 2017 Mar;25(3):188–194. doi: 10.5435/JAAOS-D-15-00684. PMID: 28146438.
Stokes A., Lundberg D.J., Sheridan B., et al. Association of obesity with prescription opioids for painful conditions in patients seeking primary care in the US. JAMA Netw Open. 2020 Apr 1;3(4) doi: 10.1001/jamanetworkopen.2020.2012. PMID: 32239222; PMCID: PMC7118518
Stokes A., Berry K.M., Collins J.M., et al. The contribution of obesity to prescription opioid use in the United States. Pain. 2019 Oct;160(10):2255–2262. doi: 10.1097/j.pain.0000000000001612. PMID: 31149978; PMCID: PMC6756256.
Sloan M., Sheth N., Lee G.C. Is obesity associated with increased risk of deep vein thrombosis or pulmonary embolism after hip and knee arthroplasty? A large database study. Clin OrthopRelat Res. 2019 Mar;477(3):523–532. doi: 10.1097/CORR.0000000000000615. PMID: 30624321; PMCID: PMC6382191.
Pouwels S., Topal B., Knook M.T., et al. Interaction of obesity and atrial fibrillation: an overview of pathophysiology and clinical management. Expert Rev Cardiovasc Ther. 2019 Mar;17(3):209–223. doi: 10.1080/14779072.2019.1581064. Epub 2019 Feb 20. PMID: 30757925
Baghbani-Naghadehi, F., Armijo-Olivo, S., Prado, C. M., Gramlich, L., & Woodhouse, L. J. (2022). Does obesity affect patient-reported outcomes following total knee arthroplasty? BMC Musculoskeletal Disorders, 23. https://doi.org/10.1186/s12891-022-04997-4
Evans JT, Mouchti S, Blom AW, Wilkinson JM, Whitehouse MR, Beswick A, Judge A. Obesity and revision surgery, mortality, and patient-reported outcomes after primary knee replacement surgery in the National Joint Registry: A UK cohort study. PLoS medicine. 2021 Jul 16;18(7):e1003704.
Snell DL, Dunn JA, Jerram KA, Hsieh CJ, DeJong G, Hooper GJ. Associations between comorbidity and quality of life outcomes after total joint replacement. Quality of Life Research. 2021 Jan;30:137-44.
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Copyright (c) 2024 Nusrum Iqbal, Amina Gul Shehzar Khan, Abdul Munaf Saud, Syed Abdur Rub Abidi, Tauseef Raza
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