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Journal of Bone and Joint Surgery - British Volume, Vol 88-B, Issue 3, 335-340.
doi: 10.1302/0301-620X.88B3.16488  
Copyright © 2006 by British Editorial Society of Bone and Joint Surgery
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Does obesity influence the clinical outcome at five years following total knee replacement for osteoarthritis?

A. K. Amin, MRCS, Specialist Registrar1; J. T. Patton, FRCS, Consultant Orthopaedic Surgeon2; R. E. Cook, FRCS, Consultant Orthopaedic Surgeon1; and I. J. Brenkel, FRCS, Consultant Orthopaedic Surgeon1

1 Department of Orthopaedics, Fife Acute Hospitals NHS Trust, Queen Margaret Hospital, Whitefield Road, Dunfermline KY12 0SU, UK.
2 Department of Orthopaedics, New Royal Infirmary of Edinburgh, Old Dalkeith Road, Edinburgh EH16 4SU, UK.

Correspondence should be sent to Mr J. T. Patton; e-mail: sam.patton{at}luht.scot.nhs.uk

A total of 370 consecutive primary total knee replacements performed for osteoarthritis were followed up prospectively at 6, 18, 36 and 60 months. The Knee Society score and complications (perioperative mortality, superficial and deep wound infection, deep-vein thrombosis and revision rate) were recorded. By dividing the study sample into subgroups based on the body mass index overall, the body mass index in female patients and the absolute body-weight. The outcome in obese and non-obese patients was compared. A repeated measures analysis of variance showed no difference in the Knee Society score between the subgroups. There was no statistically-significant difference in the complication rates for the subgroups studied. Obesity did not influence the clinical outcome five years after total knee replacement.




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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General