Clinical and radiological outcomes of total knee arthroplasty performed with midvastus and medial parapatellar approaches in obese patients

dc.authoridHüseyin Bahadır Gökçen / 0000-0002-5374-1166
dc.authoridGürkan Gümüşsuyu / 0000-0001-8408-9521
dc.authorscopusidHüseyin Bahadır Gökçen / 51563604200
dc.authorscopusidGürkan Gümüşsuyu / 55354167600
dc.authorwosidHüseyin Bahadır Gökçen / JGW-9933-2023
dc.authorwosidGürkan Gümüşsuyu / EXL-8041-2022
dc.contributor.authorGüler, Olcay
dc.contributor.authorGümüşsuyu, Gürkan
dc.contributor.authorSofu, Hakan
dc.contributor.authorGökçen, Hüseyin Bahadır
dc.date.accessioned2021-06-08T11:20:07Z
dc.date.available2021-06-08T11:20:07Z
dc.date.issued2021en_US
dc.departmentİstinye Üniversitesi, Sağlık Hizmetleri Meslek Yüksekokulu, İlk ve Acil Yardım Bölümüen_US
dc.description.abstractAbstract Abstract Background. The use of total knee arthroplasty (TKA) for primary osteoarthritis of the knee has remarkably increased recently. We aimed to compare the clinical and radiological outcomes of TKA in obese patients (>30 kg/m2) operated with midvastus (MV) or medial parapatellar (MPP) approaches. Methods. This retrospective study was performed using data derived from 80 patients (70 women; 10 men) with an average age of 66.17 ± 5.42 (range: 54 to 77). Patients were allocated into 2 groups as for the type of approach conducted during TKA: group I (n = 41) underwent TKA by MV approach, while the MMP technique was used in group II (n = 39). Results. Demographic, clinical, and radiological parameters included age, side of involvement, sex, BMI, diameters of thigh and calf, length of incision, duration of operation, amount of bleeding and transfusion, duration of hospitalization and follow-up, complications, and range of motion, as well as Knee Society Score (KSS) and Knee Society Function Score (KSFS). Patients with a higher BMI (?35 kg/m2) experienced more profound bleeding and needed more transfusion of erythrocyte suspension. The range of motion was more favorable in groups with BMI <35 kg/m2. The functional outcomes as reflected in KSS and KSFS were much better in patients with BMI <35 kg/m2. Conclusions. Our data indicated that obesity can adversely influence the clinical and radiological outcomes after TKA performed by both MV and MPP approaches. A careful analysis of patient characteristics and selection of appropriate operative procedures is critical. Further randomized, controlled trials on larger series must be designed to elucidate the relationship between obesity and therapeutic outcomes after TKA with different approaches.en_US
dc.identifier.citationGuler, O., Gümüşsuyu, G., Sofu, H., & Gökçen, H. B. (2021). Clinical and Radiological Outcomes of Total Knee Arthroplasty Performed with Midvastus and Medial Parapatellar Approaches in Obese Patients. Advances in Orthopedics, 2021.en_US
dc.identifier.doi10.1155/2021/5512930en_US
dc.identifier.issn2090-3464en_US
dc.identifier.pmid34721904en_US
dc.identifier.scopus2-s2.0-85106999616en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.urihttps://doi.org/10.1155/2021/5512930
dc.identifier.urihttps://hdl.handle.net/20.500.12713/1789
dc.identifier.volume2021en_US
dc.identifier.wosWOS:000658721000001en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorGümüşsuyu, Gürkan
dc.institutionauthorGökçen, Hüseyin Bahadır
dc.language.isoenen_US
dc.publisherHindawi Limiteden_US
dc.relation.ispartofAdvances in Orthopedicsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.titleClinical and radiological outcomes of total knee arthroplasty performed with midvastus and medial parapatellar approaches in obese patientsen_US
dc.typeArticleen_US

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