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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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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 Maniar, MBBS, MS Orthopaedics, DNB Orthopaedics, CANADA 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
Incidence and Prevention of Deep Vein Thrombosis Using Thromboprophylaxis in Total Knee Replacement: A Prospective Clinical Study ePoster Presentation Amit Lakhani, MS, DNB, MRCPS(Glassg), MNAS, INDIA
Phenotypic Differences In Coronal Alignment In Robot-Assisted Total Knee Arthroplasty Do Not Affect Patient-Reported Outcome Measurements In A Three-Dimensional Computed Tomography Analysis: A Single-Center Cohort Study ePoster Presentation Takao Kaneko, MD, PhD,, JAPAN Ayakane Yamamoto, MD, JAPAN Kazutaka Takada, MD, JAPAN Shu Yoshizawa, MD, JAPAN Hiroyasu Ikegami, MD, PhD, Prof., 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
"The Other Partial Knee"- Milling System Technique for Patellofemoral Arthroplasty in 250 Patients ePoster Presentation Alexander P. Sah, MD, UNITED STATES
Is Surgeon Assessed Bone Quality During Total Knee Arthroplasty a Valid Tool To Diagnose Osteoporosis ? ePoster Presentation Adit Maniar, MBBS, MS Orthopaedics, DNB Orthopaedics, CANADA Arpit Vasantbhai Bavaskar, MBBS, D.Orth., INDIA Vishal Raina, MS, INDIA Akshay Nayak, M.B.B.S, M.S , INDIA Ashwini Khokhar, MS, INDIA Rajesh Maniar, INDIA
Anatomical distribution of radiological OA Influences the Outcome of TKA ePoster Presentation Johanna Elliott, MB, BS, B.Med Sci, Master Science, GERMANY
Efficacy of Functional Alignment Technique In Robotic-Arm Assisted Total Knee Arthroplasty ePoster Presentation Masashi Tamaki, MD, PhD, JAPAN Yuki Yamauchi, MD,PhD, JAPAN Seishiro Higa, MD, JAPAN Tomoyuki Shimakawa, MD, JAPAN Yuki Isobe, MD, JAPAN Teruya Ishibashi, MD,PhD, JAPAN Shoji Konda, PhD, JAPAN Tetsuya Tomita, M.D.,Ph.D , JAPAN
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
Evaluation of The Safety And Efficacy of The Fully Automated Active Robotic System In Robotic Assisted Total Knee Arthroplasty ePoster Presentation Sanjay B. Londhe, MS, FRCS, FRCSI, MCh, INDIA Santosh Chandrashekar Shetty, MS, INDIA Ashit Hasmukhbhai Shah, FRCS Orth, M ChOrth, M S Orth, D N B Orth, INDIA Niraj Vora, MS,MRCS, INDIA Vijay Shetty, MD, MSc, FRCSC, INDIA Rakesh Nair, MS, INDIA Clevio Joao Baptista Desouza, MS , INDIA Farheen Khan, B.Tech, INDIA
Comparison of Outcomes between Fungal and Non-fungal Periprosthetic Joint Infections in Total Knee Arthroplasty: A Propensity Score-Matched Analysis ePoster Presentation Hong Yeol Yang, MD, PhD, KOREA, REPUBLIC OF Jong-Keun Seon, MD, PhD, Prof, KOREA, REPUBLIC OF

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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