Pain, Function, and Satisfaction After Total Knee Arthroplasty, with or Without Bariatric Surgery

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Ighani Arani, Perna,1989-Örebro University,Örebro universitet,Institutionen för medicinska vetenskaper,Department of Orthopedics, Örebro University Hospital, Örebro, Sweden (author)

Pain, Function, and Satisfaction After Total Knee Arthroplasty, with or Without Bariatric Surgery

Article/chapterEnglish2022

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2022-01-27
Springer,2022
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LIBRIS-ID:oai:DiVA.org:oru-96816
https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-96816URI
https://doi.org/10.1007/s11695-022-05912-5DOI
https://lup.lub.lu.se/record/89c9a45a-ad79-40ff-855c-3eca1bc1edf7URI

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Language:English
Summary in:English

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SwePubSwePub

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Subject category:ref swepub-contenttype
Subject category:art swepub-publicationtype

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Funding agency:Örebro University
BACKGROUND: The impact of obesity on patient-reported outcome (PRO) after total knee arthroplasty (TKA) surgery has demonstrated varying results. We evaluated knee pain, Activity in Daily Life function (ADL), and satisfaction after TKA surgery in patients with and without prior bariatric surgery (BS).METHODS: Scandinavian Obesity Surgery Registry (SOReg) and the Swedish Knee Arthroplasty Register (SKAR) were used to identify patients operated on with primary TKA for osteoarthritis (OA) between 2009 and 2019 that had a BS within 2 years before the TKA (BS group). These patients were compared to patients with TKA without prior BS (no BS group). The patients filled in the Knee injury and Osteoarthritis Outcome Score (KOOS) preoperatively and one year postoperatively as well as satisfaction with the surgery one year postoperatively. Multiple linear regression analysis was used to evaluate 1-year postoperative KOOS pain and ADL function between the 2 groups. Adjustments were made for sex, age, and preoperative KOOS pain and ADL function respectively.RESULTS: Forty-four patients were included in the BS group and 3,525 patients in the no BS group. We found no statistically or clinically significant difference in one-year postoperative KOOS pain and ADL function between the BS group and the no BS group. The majority of the patients in both groups were classified as satisfied or very satisfied one year postoperatively to the TKA.CONCLUSIONS: Our results indicate that patients without BS prior to the TKA gain similar 1-year outcome in pain, ADL function and satisfaction as patients with prior BS.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Ortopedi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Orthopaedics hsv//eng
Bariatric surgery
Obesity
Osteoarthritis
Patient-reported outcome
Total knee arthroplasty
Bariatric surgery
Obesity
Osteoarthritis
Patient-reported outcome
Total knee arthroplasty

Added entries (persons, corporate bodies, meetings, titles ...)

Wretenberg, Per,1963-Örebro University,Örebro universitet,Institutionen för medicinska vetenskaper,Department of Orthopedics, Örebro University Hospital, Örebro, Sweden(Swepub:oru)pewg (author)
Ottosson, Johan,1957-Örebro University,Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,Department of Surgery, Örebro University Hospital, Örebro, Sweden; Scandinavian Obesity Surgery Registry, Örebro, Sweden(Swepub:oru)jhon (author)
W-Dahl, AnnetteLund University,Lunds universitet,Ortopedi, Lund,Sektion III,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Orthopaedics (Lund),Section III,Department of Clinical Sciences, Lund,Faculty of Medicine,Swedish Knee Arthroplasty Register(Swepub:lu)ort-aw- (author)
Örebro universitetInstitutionen för medicinska vetenskaper (creator_code:org_t)

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In:Obesity Surgery: Springer32:4, s. 1164-11690960-89231708-0428

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By the author/editor: Ighani Arani, Pe ...; Wretenberg, Per, ...; Ottosson, Johan, ...; W-Dahl, Annette

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