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Use of Tibial Stem for Patients with Morbid Obesity in Total Knee Arthroplasty

José Eduardo Flores Naranjo, MD
MEXICO

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Use of Tibial Stem for Patients with Morbid Obesity in Total Knee Arthroplasty

José Eduardo Flores Naranjo, MD, MEXICO Adrian Aziz Cortes De La Fuente, MD, MEXICO Octavio Martinez Montiel, MD, MEXICO Fernando Martinez Zuñiga, MD, MEXICO

Centro Médico ISSEMYM Toluca, Toluca, Estado de México, MEXICO

2023 Congress ePoster Presentation 2023 Congress Not yet rated

Anatomic Location

Knee

Anatomic Structure

Cartilage

Diagnosis / Condition

Osteoarthritis

Treatment / Technique

Arthroplasty Implant Total Joint Replacement

Summary: The theoretical advantages of this study are that the use of short extension tibial stems in primary knee arthroplasty mitigates the risk of mechanical complications in morbidly obese patients, and that no complications are reported with their use.

Introduction

The use of tibial stems in total knee arthroplasty (TKA) has emerged as an alternative for patients with morbid obesity (MO) in order to reduce bone collapse and aseptic tibial loosening. The aim of this study was to compare pain, functional capacity, and postoperative complications in morbidly obese patients undergoing TKA without a tibial stem vs. with a tibial stem.

Methods

Clinical, non-blind, randomized, retrospective, longitudinal study of patients with MO (BMI>40kg/m2) who underwent TKA (n=112) between July 2015 and July 2017. Group A (n=63) with a conventional prosthesis and group B (n=49) a prosthesis with a tibial stem, with a 5-year follow-up. For statistical analysis, the Kruskal-Wallis test (continuous variables) and chi-square (categorical variables) were used.

Results

Statistically significant differences (p=.000) were found in pain with the VAS scale (Group A 0.57±0.89 vs. Group B 0.55±0.56), WOMAC questionnaire (Group A 6.02±3.97 vs. Group B 4.12±3.12) and form IKDC 2000 (Group A 71.19±13.51 vs Group B 82.74±7.89) at 36 months. With regard to postoperative complications, they were found in 21.4% of the sample, with aseptic tibial loosening and surgical wound closure being the most common. All mechanical complications occurred in the group without a tibial stem.

Conclusions

In conclusion, the results of this study suggest that the use of tibial stems in TKA reduces the risk of aseptic tibial loosening in morbidly obese patients at early follow-up.

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Tibial Morphology for Proper Adjustment of Metal Augmentation in Revision Total Knee Arthroplasty ePoster Presentation Yushi Sakamoto, MD, JAPAN Shinichiro Nakamura, MD, PhD, JAPAN Yugo Morita, MD, JAPAN Shinichi Kuriyama, MD, PhD, JAPAN Kohei Nishitani, MD, PhD, JAPAN Young Dong Song, MD, PhD, UNITED STATES Yusuke Yamawaki, MD, JAPAN Shuichi Matsuda, MD, PhD, JAPAN
In-Vivo Kinematic Analysis of Evolution® Medial-Pivot Total Knee Arthroplasty during Weight-Bearing Activity ePoster Presentation Eiichi Nakamura, MD, PhD, JAPAN Nobukazu Okamoto, MD, PhD, JAPAN Hitoshi Ito, MD, PhD, JAPAN Tetsurou Masuda, MD, PhD, JAPAN Satoshi Hisanaga, MD, PhD, JAPAN Yasunari Oniki, MD, PhD, JAPAN
Same Complication Rate After Day-Case Procedure Or Fast-Track Procedure After Total Hip And Knee Arthroplasty. A Prospective, Propensity Score-Matched Case-Control Study ePoster Presentation Jean-Yves Jenny, Prof., FRANCE Vincent Gisonni, MD, FRANCE
Intraoperative Surgeon-Performed vs. Conventional Anesthesiologist-Performed Continuous Adductor Canal Block In Total Knee Arthroplasty: A Randomized Controlled Trial ePoster Presentation Chayut Chaiperm, MD, THAILAND Srihatach Ngarmukos, MD, THAILAND Aree Tanavalee, MD, THAILAND Chotetawan Tanavalee, MD, THAILAND Wirinaree Kampitak, MD, THAILAND
Does 1000 Mg Ferric Carboxylate Maltose Have an Additional Benefit on the Haemoglobin Recovery Post Total Knee Arthroplasty? - A Comparison with 500 Mg of Ferric Carboxymaltose ePoster Presentation Adit Rajesh Maniar, MBBS, MS Orthopaedics, DNB Orthopaedics, INDIA Ashwini Khokhar, MS, INDIA Akshay Nayak, M.B.B.S, M.S , INDIA Naveen Chandar, MBBS, INDIA Abhinav Mishra, MS, DNB, INDIA Rajesh Maniar, INDIA
Differences In Pain, Sleep Status And Functional Recovery Between TKA And UKA ePoster Presentation Takeo Mammoto, MD, JAPAN
Accuracy of the Component Alignment and Sizing in Total Knee Arthroplasty: Preoperative Templating and Postoperative Evaluation Using CT-Based 3D Pre-Operative Planning Software ePoster Presentation Takayuki Koya, MD, PhD, JAPAN Atsushi Sato, MD, PhD, JAPAN Jun Oike, MD, PhD, JAPAN Masataka Ota, MD, JAPAN Kanako Izukashi, MD, JAPAN Takayuki Okumo, MD, PhD, JAPAN Saki Yagura, MD, JAPAN Naoki Okuma, MD, JAPAN Fumiyoshi Kawashima, MD, JAPAN Hiroshi Takagi, MD, PhD, JAPAN Koji Kanzaki, Prof., JAPAN
Follow-Up after Primary Total Knee Arthroplasty with the Sigma PFC implant (DePuy Synthes Inc.) in Patients with Metal Allergy or Hypersensitivity ePoster Presentation Natalie Mengis, MD, SWITZERLAND Jules-Nikolaus Rippke, Dr. med. (MD), SWITZERLAND Sebastian Schmidt, GERMANY Tudor Daniel Cucos, MD, GERMANY Luis Alfredo Navas Contreras, MD, GERMANY Daniel Krahl, MD, GERMANY Marcus Streit, Prof., GERMANY
High Cure Rate In Hematogenous TKA PJI At A Long-Term Follow-Up By Means Of Dair Procedure ePoster Presentation Daniel Pérez-Prieto, MD, SPAIN Albert Fontanellas, MD, SPAIN Raúl Torres-Claramunt, PhD, SPAIN Juan Francisco Sanchez-Soler, MD, PhD, SPAIN Joan Carles Monllau, MD, PhD, Prof., SPAIN Pedro Hinarejos, MD, PhD, SPAIN
Large Reduction In Postoperative Posterior Tibial Slope Risks Anterior Collapse Of The Tibial Component In Fixed-Bearing Unicompartmental Knee Arthroplasty ePoster Presentation Kazuhisa Hatayama, MD, PhD, JAPAN Masanori Terauchi, MD, JAPAN Shingo Kurihara, MD, JAPAN Satoshi Nonaka, MD, JAPAN Hibiki Kakiage, MD, JAPAN

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Use of Tibial Stem for Patients with Morbid Obesity in Total Knee Arthroplasty

Use of Tibial Stem for Patients with Morbid Obesity in Total Knee Arthroplasty

Introduction

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Use of Tibial Stem for Patients with Morbid Obesity in Total Knee Arthroplasty

Use of Tibial Stem for Patients with Morbid Obesity in Total Knee Arthroplasty

Introduction

Methods

Results

Conclusions

More 2023 ISAKOS Congress Content