CLINICAL AND FUNCTIONAL OUTCOME OF PRIMARY TOTAL KNEE ARTHROPLASTY IN MORBIDLY OBESE PATIENTS; A CROSS-SECTIONAL STUDY
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Keywords
Total Knee Arthroplasty, Morbidly Obese Patients, Patients ‘Clinical Outcome, Patients Functional Outcome
Abstract
Objective: To evaluate the results of primary TKA in morbidly obese patients according to the clinical and functional parameters.
Study Design: A cross sectional study
Place and Duration of Study: Department of Orthopedic Mardan Medical Complex Mardan from Jan 2021 to July 2021
Methodology: A cross sectional study conducted at the department of orthopedic in MMC Mardan. Particularly the study involved morbidly obese patients, that is, the patients with body mass index (BMI) of 40 kilograms per meter square or higher undergoing primary TKA. Pre- and two-year follow-up AKSS were collected and compared using an independent t test to indicate the level of statistical significance (p < 0. 05).
Results: out Of 200 patients, incisions were made for a total of two surgeries, and 180 (90. 2%) of them had bilateral TKA, and 10 (5. 2%) had unilateral TKA. As shown by the results, the mean age of the participants of the study was equal to 61. 01 ± 7. This is followed by 01 years involving 176 female patients and only 20 male patients with 81 . Most (62. 2%, n = 124) were categorized within the moderately obese to obese range with a BMI of between 38 and 48 . They were divided into three groups; 120 (59. ); 57 (28. ); and 80 (39. The clinical AKSS (Pain, Stability and ROM) at one year follow-up confirmed the results of the study and all the patients has significant improvement (p < 0. 05) where as the functional AKSS (Walking distance, Stair climbing and descending) as evaluated by the functional AKSS did not had significant improvement (p > 0. 05).
Conclusion: In morbidly obese patients primary TKA, the results showed an improved clinical status in both pain, stability, and range of motion but did not impact functional status as measured by distance walking and stair climbing.
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Zahir Khan
Department of Orthopedic, MTI Mardan Medical Complex, Mardan, KP – Pakistan
Anwar Imran
Assistant Professor, Department of Orthopedic Surgery, Jinnah Teaching Hospital, Peshawar, KP – Pakistan
Farhan Qazi
Department of Orthopedic, Pak International Medical College, Peshawar, KP – Pakistan
Sajid Akhtar
Department of Orthopedic Saidu Teaching Hospital Swat, KP – Pakistan
Alamgir Khan
Department of Surgery, MTI Mardan Medical Complex, Mardan, KP – Pakistan