Knee arthoplasty in obese patients
M.J. HELO1, I.F. AKHTYAMOV1,2, F.M. SAID1, I.Sh. GILMUTDINOV2, G.M. FAIZRAKHMANOVA1
1Kazan State Medical University, 49 Butlerov Str., Kazan, Russian Federation, 420012
2Republican Clinical Hospital of the Ministry of Health of the Republic of Tatarstan, 138 Orenburgskiy Trakt, Kazan, Russian Federation, 420064
Helo M.J. ― postgraduate student of the Department of Traumatology, Orthopedics and Surgery of Extreme States, e-mail: dr_helo_ortho@hotmail.com
Akhtiamov I.F. ― D. Sc. (medicine), Professor, Head of the Department of Traumatology, Orthopedics and Surgery of Extreme States, Chief Researcher of the Scientific Department, e-mail: Yalta60@mail.ru
Said F.M. ― postgraduate student of the Department of Traumatology, Orthopedics and Surgery of Extreme States, e-mail: Firassss86@gmail.com, ORCID ID: 0000-0002-7712-3266
Gilmutdinov I.Sh. — physician of the Department of Orthopedics №2, e-mail: kostolom52@yandex.ru
Faizrakhmanova G.M. — PhD (Medicine), Assistant of the Department of Traumatology and Orthopedics and Surgery of Extreme States, e-mail: fagumu69@mail.ru
Obesity is currently progressing at an incredible rate, reaching an increase of at least 10% per year. At the same time, an increase in the need for total joint arthroplasty in this category of patients is also expected. Absolute benefit of joint replacement, particularly the TKA, even in patients with obesity is unquestionable. However, from an orthopedic surgeon, it requires the most careful preoperative planning to minimize the risks of complications after surgery, and from the patient ― reducing the body mass index (BMI) and the cardinal change in the way of life. Together, these measures will achieve a level of quality of life for patients with total arthroplasty without obesity, as well as reduce the costs of rehabilitation measures.
Key words: knee arthroplasty, obesity, knee, primary arthroplasty.
(For citation: Helo M.J., Akhtiamov I.F., Said F.M., Gilmutdinov I.Sh., Faizrakhmanova G.M. Knee arthoplasty in obese patients. Practical Medicine. 2018)
REFERENCES
- WHO: Obesity and overweight, available at: http://www.who.int/mediacentre/factsheets/fs311/en/
- Obesity, available at: http://www.nice.org.uk/
- Salih S., Sutton P. Obesity, knee osteoarthritis and knee arthroplasty: a review. Sports Science, Medicine, and Rehabilitation, 2013, no. 5, p. 25. http://biomedcentral.com/2052-1847/5/25.
- Razina A.O., Runenko S.D., Achkasov E.E. The problem of obesity: current trends in Russia and in the world. Vestnik Rossiyskoy akademii meditsinskikh nauk, 2016, no. 71 (2), pp. 154-159 (in Russ.). DOI:10.15690/vramn655.
- Te Morenga L., Mallard S., Mann J. Dietary sugars and body weight: systematic review and meta-analyses of randomised controlled trials and cohort studies. BMJ, 2013, no. 346, p. e7492.
- Cottrell R.C., Wittekind A. Conclusions of review of dietary sugars and body weight are unwarranted. BMJ, 2013, no. 346, pp. f1238-f1238.
- Springer B.D., Parvizi J., Austin M. et al. Obesity and Total Joint Arthroplasty A Literature Based Review. The Journal of Arthroplasty, 2013, no. 28, pp. 714-721.
- Roche M., Law T.Y., Kurowicki J., et al. Effect of Obesity on Total Knee Arthroplasty Costs and Revision Rate. J. Knee Surg, 2018, no. 31 (1), pp. 38-42. doi: 10.1055/s-0037-1608933.