High Body Mass Index and its Effect on Total Knee Replacement

Sobti, Anshul; Sudhakar, Joseph E

doi:10.4172/2167-7921.1000245

Cited by 4 publications

(5 citation statements)

References 19 publications

(25 reference statements)

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“…Thus, Katchky indicate that despite generally good outcomes after TKA, between 15% and 20% of patients remain dissatisfied [ 31 ]. This number decreases over time as patients adapt to their knee systems [ 47 , 48 ] ( Table III ).…”

Section: Resultsmentioning

confidence: 99%

“…The body mass index (BMI) is a very important factor influencing both the frequency of post-operative complications and knee function restoration after surgery. Excessive weight increases the time of rehabilitation, while the increased load on the joint significantly reduces the functional performance of the knee joint and the lifespan of the implant [ 48 ]. In this research, overweight patients (BMI ≥ 25 kg/m 2 ) showed the worst outcomes (mean function score: 70.0 ±27.5; mean knee score: 84.1 ±14.1; mean ROM: 90.7º ±24.5º) compared to patients with normal weight (mean function score: 83.2 ±20.7; mean knee score: 94.1 ±5.9; mean ROM: 103.0º ±9.1º).…”

Section: Resultsmentioning

confidence: 99%

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Total knee arthroplasty using modified measured resection: a five-year retrospective review of midterm outcomes

Trung

Son

et al. 2021

Arch Med Sci

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Introduction: Deforming arthrosis, or osteoarthritis, is the most common rheumatic disease that involves the musculoskeletal system. The purpose of this research is to perform a retrospective review of the quality of life of patients with knee arthrosis, who underwent total knee arthroplasty (TKA) no less than five years ago, to evaluate, based on the Knee Society Scoring System, the efficacy of a modified measured resection technique, and to investigate factors that affect the outcomes. Material and methods: The research sample consisted of 44 patients who had severe osteoarthrosis, Kellgren-Lawrence grade III and grade IV. Results: The post-operative complications occurred in seven knee joints. Among them there were two cases of infection, two cases of periprosthesis fracture, and two cases of aseptic instability, each pair accounting for 4.3%, and one case of femoropatellar pain (2.3%). The remaining 38 knee joints (84.8%) were free of complications. Conclusions: Knee arthrosis is a serious health problem, given the significant rate of disability among patients and the significant reduction in the quality of life. Patients often seek medical help at the later stages of the disease, when pain is strong and knee function is significantly reduced. The approach to rehabilitation procedures and, in some cases, to lifestyle improvement should be more responsible.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Total knee arthroplasty using modified measured resection: a five-year retrospective review of midterm outcomes

Trung

Son

et al. 2021

Arch Med Sci

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“…Some of the achievements made by these doctors are that three original research articles have been published, four papers are being reviewed for publication, and 13 international and national poster abstracts and numerous audits have been presented that have contributed in better medical practice. [4][5][6] Twenty doctors have successfully received a national training number in various specialist programmes: 11 in general practice, four in internal medicine, two in paediatrics, one in psychiatry, one in obstetrics and gynaecology, and one in core surgical training. There are numerous clinical attachment programmes within the UK such as the LEAD-it project started in the emergency department at University Hospitals of Leicester NHS Trust that have similarly attempted to acculturate IMGs into the NHS and UK medical practice.…”

Section: Selection Processmentioning

confidence: 99%

Workforce: Acculturation of international medical graduates into the NHS

Thacker

Gadde

Sathiakeerthy

et al. 2022

Future Healthcare Journal

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Since the inception of the NHS, international medical graduates (IMGs) have been recognised as integral to the NHS long-term plan. These diverse groups of doctors make up approximately a fifth of all licensed doctors in the UK. The NHS has a history of reliance on IMGs to fill shortages and add to the workforce. IMGs face numerous challenges while immigrating and starting a new job in the UK. Conversely, the employing hospital has a responsibility to help their new IMGs adapt to the UK system of medical practice. Keeping the above-mentioned concerns in mind and hoping to tackle these issues faced by IMGs, a clinical attachment programme has been initiated at Ashford and St Peter's Hospitals NHS Foundation Trust (ASPH) by a group of clinicians, administration staff and the medical director. Although there are various pathways for an IMG to enter the healthcare system in the UK, the ASPH has provided an organised programme that promises to deliver high-quality doctors that value patient safety. This article outlines the programme that can be adopted by other NHS trusts to acculturate and have a positive impact on the IMGs' careers, as well as their work-life balance.

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“…Prosthetic joint infection (PJI) following TJA is a devastating complication leading to prolonged hospital stay, high mortality and morbidity, suboptimal functional outcome and high social burden [8]. Of the various causes, persistent wound leakage is an important contributing factor as it may provide a portal of entry for pathogens and indicate an underlying haematoma [9].…”

Section: Introductionmentioning

confidence: 99%

Challenges of Anticoagulation in Total Joint Arthroplasty

Sobti¹,

Unnithan²

2020

OJO

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Aggressive anticoagulation following total joint arthroplaty (TJA) is well known to increase the risk of both wound leakage and hematoma formation. Despite this there are no guidelines for orthopaedic surgeons undertaking major primary and revision surgery in patients with high risk of venous thromboembolic events, who may present with complications directly linked to anticoagulant use. Hence the authors felt the need for this narrative review. They have tried to answer few questions that are commonly faced in clinical practice. Balanced anticoagulation is a difficult task to achieve. The potential consequences of over anticoagulation on the outcome of TJA and revision TJA are live changing and devastating. On the contrary falling short of adequate anticoagulation is fatal leading to recurrent thromboembolic events. Robust risk stratification tools and a multidisciplinary approach are certainly the way forward. There is an urgent need for specialty specific guidelines for managing patient on anticoagulation undergoing TJA, and revision arthroplasty procedures.

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High Body Mass Index and its Effect on Total Knee Replacement

Cited by 4 publications

References 19 publications

Total knee arthroplasty using modified measured resection: a five-year retrospective review of midterm outcomes

Total knee arthroplasty using modified measured resection: a five-year retrospective review of midterm outcomes

Workforce: Acculturation of international medical graduates into the NHS

Challenges of Anticoagulation in Total Joint Arthroplasty

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