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Bulletin of Emergency and Trauma، جلد ۱۱، شماره ۲، صفحات ۶۹-۷۴

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عنوان انگلیسی Total Knee Arthroplasty with Non-Stemmed Tibial Components among Obese Patients: Clinical and Radiologic Evaluation and Review of Literature
چکیده انگلیسی مقاله Objective: This study aimed to evaluate the radiologic and clinical outcomes of TKA with non-stemmed tibial components in relation to their body mass index (BMI).Methods: In this retrospective cohort study, the outcome of TKA with non-stemmed tibial components based on their BMI was evaluated (BMI< 30 vs. BMI≥30). The patients’ function was assessed using the International Knee Documentation Committee (IKDC) and Lysholm knee questionnaires. Radiologic evaluation for probable signs of loosening was performed using two quantitative scoring systems by Ewald and Bach et al. Moreover, we reviewed the current literature on the application of non-stemmed tibial components in obese patients.Results: Twenty-one patients (two men and 19 women) with BMI≥30 and a mean age of 65.1±9.5 years, and 22 patients (three men and 19 women) with BMI< 30 and a mean age of 63.6±8.5 years were studied. The mean follow-up periods with BMI≥30 (47.0±19.8 months) and BMI< 30 (49.2±18.7 months) were comparable (p=0.618). No patients in either group experienced clinical loosening. Besides, none of the patients had any kind of revision surgery. The patients in both BMI groups had comparable IKDC scores (both the total score and its sub-scores; p>0.05). Furthermore, the total Lysholm knee scores were similar in both groups (p=0.122). Using both scoring systems, the peri-prosthetic bone radiolucency near the tibial components was similar in both groups (p>0.999).Conclusion: The present study found no significant difference in the radiologic or clinical outcome of unstemmed TKA in patients with BMIs under and over 30. 
کلیدواژه‌های انگلیسی مقاله Knee Prosthesis, Obesity, aseptic loosening

نویسندگان مقاله Armin Akbarzadeh |
Department of Orthopedic surgery, Shiraz University of Medical Sciences, Shiraz, Iran.

Ehsan Fallah |
Department of Orthopedic and Trauma Surgery, AJA University of Medical Sciences, Tehran, Iran.

Seyed Ali Hashemi |
Bone and Joints Diseases Research Center, Department of Orthopedic surgery, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran

Seyed Mohammad Tahami |
Bone and joint research center, Department of orthopedics, Shiraz university of medical sciences, Shiraz, Iran.

Babak Pourabbas |
Bone and Joints Diseases Research Center, Department of Orthopedic surgery, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.

Saeed Solooki |
Department Of Orthopedic Surgery, School Of Medicine, Shiraz University Of Medical Sciences, Shiraz, Iran


نشانی اینترنتی https://beat.sums.ac.ir/article_49189_9b7a6458209719df64d92f0f8af15167.pdf
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