Research Article
BibTex RIS Cite

Osteoartritli ve aşırı kilolu veya obez kadınlarda vücut kitle indeksinin total diz artroplastisi sonrası fonksiyonel iyileşme üzerine etkisi

Year 2014, , 117 - 121, 17.04.2014
https://doi.org/10.3944/AOTT.2014.3126

Abstract

Amaç: Bu çalışmanın amacı diz osteoartriti (OA) tanısı ile total diz artroplastisi (TDA) yapılan aşırı kilolu ya da obez kadınlarda vücut kitle indeksinin (VKİ) fonksiyonel düzelme ile olan ilişkisinin değerlendirilmesi idi.

Çalışma planı: Çalışmaya OA tanısı ile elektif primer TDA planlanan 78 kadın hasta alındı. Hastaların yaş, boy, vücut ağırlıkları ve VKİ’leri kaydedildi. Hastaların fonksiyonel durumları Knee Injury and Osteoarthritis Outcome Score (KOOS) testinin Türkçe versiyonu ile değerlendirildi. Performansa dayalı fonksiyonel durumu değerlendirmek için ise Timed Up and Go (TUG) testi kullanıldı.

Bulgular: Çalışmaya alınan hastaların yaş ortalaması 66.5±5.8 (dağılım: 56-79) olarak kaydedilirken, ortalama diz ağrısı süresinin 9.56±7.1 yıl olduğu hesaplandı. Kırk yedi (%60) hastanın VKİ’si 30’dan büyük olarak saptanırken, 31 (%40) hastada VKİ 25-30 arasında bulundu. Vücut kitle indeksinin KOOS ya da TUG testi ile korele olmadığı belirlendi. Cerrahi sonrası KOOS skorlarında anlamlı bir artış gözlendi (p<0.01). Cerrahi sonrası TUG testi değerlerinde de anlamlı derecede gelişme vardı (p<0.01).

Çıkarımlar: Vücut kitle indeksinin TDA yapılan aşırı kilolu veya obez kadın hastalarda fonksiyonel düzelme üzerine olumsuz bir etkisi saptanmadı. Fiziksel fonksiyonun diz artroplastisi sonrasında belirgin derecede arttığı gözlendi.

References

  • Flegal KM, Carroll MD, Kit BK, Ogden CL. Prevalence of obesity and trends in the distribution of body mass index among US adults, 1999-2010. JAMA 2012;307:491-7. Bagriacik N, Onat H, Ilhan B, Tarakci T, Osar Z, Ozyazar M, et al. Obesity profile in Turkey. Int J Diabetes Metab 2009;17:5-8.
  • Lee R, Kean WF. Obesity and knee osteoarthritis. Inflammopharmacology 2012;20:53-8.
  • Fitzgerald JD1, Orav EJ, Lee TH, Marcantonio ER, Poss R, Goldman L, et al. Patient quality of life during the 12 months following joint replacement surgery. Arthritis Rheum 2004;51:100-9.
  • Harris WH, Sledge CB. Total hip and total knee replacement (1). N Engl J Med 1990;323:725-31.

Effect of body mass index on functional recovery after total knee arthroplasty in ambulatory overweight or obese women with osteoarthritis

Year 2014, , 117 - 121, 17.04.2014
https://doi.org/10.3944/AOTT.2014.3126

Abstract

Objective: The aim of this study was to evaluate the relationship between body mass index (BMI) and functional status after total knee arthroplasty (TKA) in ambulatory overweight or obese women with knee osteoarthritis (OA).

Methods: The study included 78 women who underwent elective primary TKA for osteoarthritis. Age, height, body weight and BMI were recorded. Functional status was evaluated using the Turkish version of the Knee Injury and Osteoarthritis Outcome Score (KOOS). The Timed Up and Go (TUG) test was used to evaluate performance-based functional assessment.

Results: Mean age of the patients was 66.5±5.8 (range: 56 to 79) years and mean duration of symptoms was 9.56±7.1 years. Body mass index was 30 or higher in 47 patients (60%) and between 25 and 29 in 31 (40%). Body mass index did not correlate with the KOOS or TUG test. Postoperative KOOS scores showed a statistically significant increase (p<0.01). Postoperative TUG test values showed significant improvement (p<0.01).

Conclusion: Body mass index had no negative effect on functional recovery and mobility in the ambulatory overweight or obese women undergoing TKA. Physical function improved significantly after knee arthroplasty.

References

  • Flegal KM, Carroll MD, Kit BK, Ogden CL. Prevalence of obesity and trends in the distribution of body mass index among US adults, 1999-2010. JAMA 2012;307:491-7. Bagriacik N, Onat H, Ilhan B, Tarakci T, Osar Z, Ozyazar M, et al. Obesity profile in Turkey. Int J Diabetes Metab 2009;17:5-8.
  • Lee R, Kean WF. Obesity and knee osteoarthritis. Inflammopharmacology 2012;20:53-8.
  • Fitzgerald JD1, Orav EJ, Lee TH, Marcantonio ER, Poss R, Goldman L, et al. Patient quality of life during the 12 months following joint replacement surgery. Arthritis Rheum 2004;51:100-9.
  • Harris WH, Sledge CB. Total hip and total knee replacement (1). N Engl J Med 1990;323:725-31.
There are 4 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Original Article
Authors

Didem Dere This is me

Nurdan Paker This is me

Derya Soy Bugdayci This is me

Demet Tekdos Demircioglu This is me

Publication Date April 17, 2014
Published in Issue Year 2014

Cite

APA Dere, D., Paker, N., Soy Bugdayci, D., Tekdos Demircioglu, D. (2014). Effect of body mass index on functional recovery after total knee arthroplasty in ambulatory overweight or obese women with osteoarthritis. Acta Orthopaedica Et Traumatologica Turcica, 48(2), 117-121. https://doi.org/10.3944/AOTT.2014.3126
AMA Dere D, Paker N, Soy Bugdayci D, Tekdos Demircioglu D. Effect of body mass index on functional recovery after total knee arthroplasty in ambulatory overweight or obese women with osteoarthritis. Acta Orthopaedica et Traumatologica Turcica. April 2014;48(2):117-121. doi:10.3944/AOTT.2014.3126
Chicago Dere, Didem, Nurdan Paker, Derya Soy Bugdayci, and Demet Tekdos Demircioglu. “Effect of Body Mass Index on Functional Recovery After Total Knee Arthroplasty in Ambulatory Overweight or Obese Women With Osteoarthritis”. Acta Orthopaedica Et Traumatologica Turcica 48, no. 2 (April 2014): 117-21. https://doi.org/10.3944/AOTT.2014.3126.
EndNote Dere D, Paker N, Soy Bugdayci D, Tekdos Demircioglu D (April 1, 2014) Effect of body mass index on functional recovery after total knee arthroplasty in ambulatory overweight or obese women with osteoarthritis. Acta Orthopaedica et Traumatologica Turcica 48 2 117–121.
IEEE D. Dere, N. Paker, D. Soy Bugdayci, and D. Tekdos Demircioglu, “Effect of body mass index on functional recovery after total knee arthroplasty in ambulatory overweight or obese women with osteoarthritis”, Acta Orthopaedica et Traumatologica Turcica, vol. 48, no. 2, pp. 117–121, 2014, doi: 10.3944/AOTT.2014.3126.
ISNAD Dere, Didem et al. “Effect of Body Mass Index on Functional Recovery After Total Knee Arthroplasty in Ambulatory Overweight or Obese Women With Osteoarthritis”. Acta Orthopaedica et Traumatologica Turcica 48/2 (April 2014), 117-121. https://doi.org/10.3944/AOTT.2014.3126.
JAMA Dere D, Paker N, Soy Bugdayci D, Tekdos Demircioglu D. Effect of body mass index on functional recovery after total knee arthroplasty in ambulatory overweight or obese women with osteoarthritis. Acta Orthopaedica et Traumatologica Turcica. 2014;48:117–121.
MLA Dere, Didem et al. “Effect of Body Mass Index on Functional Recovery After Total Knee Arthroplasty in Ambulatory Overweight or Obese Women With Osteoarthritis”. Acta Orthopaedica Et Traumatologica Turcica, vol. 48, no. 2, 2014, pp. 117-21, doi:10.3944/AOTT.2014.3126.
Vancouver Dere D, Paker N, Soy Bugdayci D, Tekdos Demircioglu D. Effect of body mass index on functional recovery after total knee arthroplasty in ambulatory overweight or obese women with osteoarthritis. Acta Orthopaedica et Traumatologica Turcica. 2014;48(2):117-21.