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Effect of Body Mass Index on Limb Alignment After Total Knee Arthroplasty.
J Arthroplasty. 2013 Jul 24;
Authors: Estes CS, Schmidt KJ, McLemore R, Spangehl MJ, Clarke HD
Abstract
Prior studies have reported increased failure rates in obese patients with postoperative limb mal-alignment. This study was undertaken to determine if a relationship exists between postoperative limb alignment and BMI in patients undergoing primary TKA performed with mechanical instruments. An IRB-approved retrospective review of 196 knees was undertaken. Limb alignment was determined on full-length, standing, hip-to-ankle x-rays, preoperatively and postoperatively. The effects of gender, side, preoperative mechanical alignment and BMI on postoperative alignment were analyzed via multivariate regression analysis. Both preoperative mechanical limb alignment (P<0.001) and BMI (P=0.009) had a significant effect on postoperative limb alignment following TKA performed with mechanical instruments.
PMID: 23890833 [PubMed - as supplied by publisher]
Read more... http://www.ncbi.nlm.nih.gov/pubmed/23890833?dopt=Abstract
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