M.J. HELO¹, I.F. AKHTYAMOV^1,2, I.Sh. GILMUTDINOV², G.M. FAIZRAKHMANOVA¹, R.G. KUZNETSOVA²

 ¹Kazan State Medical University of the Ministry of Health of the Russian Federation, Kazan

²Republican Clinical Hospital of the Ministry of Healthcare of the Republic of Tatarstan, Kazan

 Contact details:

Helo M.J. — post-graduate student of the Department of Traumatology, Orthopedics and Surgery of Extreme States

Address: 49 Butlerov St., Kazan, Russian Federation, 420012, tel.: +7-937-777-35-00, e-mail: dr_helo_ortho@hotmail.com.

 Worldwide, there has been a rapid increase in the number of people suffering from osteoarthritis in combination with obesity, which leads to an increase in the need for radical interventions on the knee joint. An important factor is the increase in life expectancy in developed countries. Conservative treatment of osteoarthritis in the early stages has a beneficial effect, but this is usually only a temporary improvement. Obesity is one of the risk factors for the development of complications that affect the effectiveness of knee arthroplasty.

At present, knee replacement surgery is the most effective operation, allowing patients to return to normal life, but it is known that an increased body mass index influences the efficiency and the forecast of the operation.

Key words: knee arthroplasty, obesity, Oxford Knee Score (Visual Analog Scale, VAS), EQ-5D.

(For citation: Helo M.J. , Akhtyamov I.F. , Gilmutdinov I.Sh. , Faizrakhmanova G.M, Kuznetsova R.G. Effect of body mass index on psycho-emotional state of patients after knee replacement. Practical Medicine. 2019. Vol. 17, № 6 (part 2), P. 100-103) 

REFERENCES

1. Lavie C.J., Milani R.V., Ventura H.O. Obesity and cardiovascular disease: risk factor, paradox, and impact of weight loss. J Am Coll Cardiol, 2009, vol. 53, pp. 1925–1932.
2. Manson J.E., Willett W.C., Stampfer M.J., Colditz G.A., Hunter D.J., Hankinson S.E. et al. Body weight and mortality among women. N Engl J Med, 1995, vol. 333, pp. 677–685.
3. Gandhi R., Wasserstein D., Razak F., Davey J.R., Mahomed N.N. BMI independently predicts younger age at hip and knee replacement. Obesity (Silver Spring), 2010, vol. 18, pp. 2362–2366.
4. Adhikary S.D., Liu W.M., Memtsoudis S.G., Davis C.M. 3rd, Liu J. Body mass index more than 45 kg/m(2) as a cutoff point is associated with dramatically increased postoperative complications in total knee arthroplasty and total hip arthroplasty. J Arthroplasty, 2016, vol. 31, pp. 749–753.
5. Odum S.M., van Doren B.A., Springer B.D. National obesity trends in revision total knee arthroplasty. J Arthroplasty, 2016, vol. 31, pp. 136–139.
6. Thompson S.M., Salmon L.J., Webb J.M., Pinczewski L.A., Roe J.P. Construct validity and test re-test reliability of the forgotten joint score. J Arthroplasty, 2015, vol. 11, pp. 1902–1905.
7. Foran J.R., Mont M.A., Etienne G., Jones L.C., Hungerford D.S. (2004) The outcome of total knee arthroplasty in obese patients. J Bone Joint Surg Am, 2004, vol. 86-A, pp. 1609–1615.
8. O’Neill S.C., Butler J.S., Daly A., Lui D.F., Kenny P. Effect of body mass index on functional outcome in primary total knee arthroplasty – a single institution analysis of 2180 primary total knee replacements. World J Orthop, 2016, vol. 7, pp. 664–669.
9. Schoffman D.E., Wilcox S., Baruth M. Association of body mass index with physical function and health-related quality of life in adults with arthritis. Arthritis, 2013:190868.
10. Merle-Vincent F., Couris C.M., Schott A.M., Conrozier T., Piperno M., Mathieu P. et al. Factors predicting patient satisfaction 2 years after total knee arthroplasty for osteoarthritis. Joint Bone Spine, 2011, vol. 78, pp. 383–386.
11. Scott C.E., Oliver W.M., MacDonald D., Wade F.A., Moran M., Breusch S.J. Predicting dissatisfaction following total knee arthroplasty in patients under 55 years of age. Bone Joint J, 2016, vol. 98-B, pp. 1625–1634.
12. Baker P., Petheram T., Jameson S., Reed M., Gregg P., Deehan D. The association between body mass index and the outcomes of total knee arthroplasty. J Bone Joint Surg Am, 2012, vol. 94, pp. 1501–1508.
13. Plate J.F., Augart M.A., Seyler T.M., Bracey D.N., Hoggard A., Akbar M. et al. (2017) Obesity has no effect on outcomes following unicompartmental knee arthroplasty. Knee Surg Sports Traumatol Arthrosc, 2017, vol. 25, pp. 645–651.
14. Singh J.A., Gabriel S.E., Lewallen D.G. Higher body mass index is not associated with worse pain outcomes after primary or revision total knee arthroplasty. J Arthroplasty, 2011, vol. 26, pp. 366–374.
15. Pua Y.H., Seah F.J., Seet F.J., Tan J.W., Liaw J.S., Chong H.C. (2015) Sex differences and impact of body mass index on the time course of knee range of motion, knee strength, and gait speed after total knee arthroplasty. Arthritis Care Res (Hoboken), 2015, vol. 67, pp. 1397–1405.
16. Chen J.Y., Lo N.N., Chong H.C., Bin Abd Razak H.R., Pang H.N., Tay D.K. et al. The influence of body mass index on functional outcome and quality of life after total knee arthroplasty. Bone Joint J, 2016, vol. 98-B, pp. 780–785.
17. Losina E., Walensky R.P., Kessler C.L., Emrani P.S., Reichmann W.M., Wright E.A. et al. Cost-effectiveness of total knee arthroplasty in the United States: patient risk and hospital volume. Arch Intern Med, 2009, vol. 169, pp. 1113–1121.
18. Ast M.P., Abdel M.P., Lee Y.Y., Lyman S., Ruel A.V., Westrich G.H. (2015) Weight changes after total hip or knee arthroplasty: prevalence, predictors, and effects on outcomes. J Bone Joint Surg Am, 2015, vol. 97, pp. 911–919.
19. The World Health Organization (2000) Obesity: preventing and managing the global epidemic. WHO, Geneva.
20. Chen J.Y., Lo N.N., Chong H.C., Pang H.N., Tay D.K., Chin P.L. et al. Cruciate retaining versus posterior stabilized total knee arthroplasty after previous high tibial osteotomy. Knee Surg Sports Traumatol Arthrosc, 2015, vol. 23, pp. 3607–3613.
21. Webb J.E., Yang H.Y., Collins J.E., Losina E., Thornhill T.S., Katz J.N. The evolution of implant design decreases the incidence of lateral release in primary total knee arthroplasty. J Arthroplasty, 2017, vol. 32, pp. 1505–1509.
22. Pan X.Q., Peng A.Q., Wang F., Li F., Nie X.Z., Yang X. et al. Effect of tibial slope changes on femorotibial contact kinematics after cruciate-retaining total knee arthroplasty. Knee Surg Sports Traumatol Arthrosc, 2016, vol. 11, pp. 3549–3555.
23. Vanlommel L., Vanlommel J., Claes S., Bellemans J. Slight undercorrection following total knee arthroplasty results in superior clinical outcomes in varus knees. Knee Surg Sports Traumatol Arthrosc, 2013, vol. 21, pp. 2325–2330.