Cemented vs Cementless Total Knee Arthroplasty in Morbidly Obese Patients.
J Arthroplasty
; 31(8): 1727-31, 2016 08.
Article
en En
| MEDLINE
| ID: mdl-26895823
ABSTRACT
BACKGROUND:
Primary total knee arthroplasty (TKA) in morbidly obese patients has been associated with greater postoperative complications. Cementless TKA has the potential for biologic fixation which may provide more durable long-term stability.METHODS:
This was a multicenter review of 298 TKAs in 292 morbidly obese patients (body mass index, >40) undergoing TKA, with 154 TKAs (149 patients) in the cemented and 144 TKAs (143 patients) in the cementless group.RESULTS:
There were significantly more revisions in the cemented group (n = 20) than in the cementless group (n = 1; 13.0% vs 0.7%). There was a significantly higher incidence of aseptic loosening in the cemented cohort vs the cementless cohort (9 vs 0 TKAs). All revisions in the cementless cohort were due to infection (0.7%).CONCLUSION:
Cementless fixation may be an alternative in the morbidly obese patient undergoing primary TKA.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Complicaciones Posoperatorias
/
Reoperación
/
Cementos para Huesos
/
Obesidad Mórbida
/
Artroplastia de Reemplazo de Rodilla
Tipo de estudio:
Observational_studies
Límite:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
J Arthroplasty
Asunto de la revista:
ORTOPEDIA
Año:
2016
Tipo del documento:
Article