| Does Obesity Negatively Affect the Functional Results of Arthroscopic Partial Meniscectomy? A Retrospective Cohort Study. | |
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MedLine Citation:
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PMID: 23270789 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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PURPOSE: The purpose of this study was to evaluate the impact of body mass index (BMI) on early functional results of patients who undergo isolated partial meniscectomy. METHODS: The functional results for 1,090 patients who underwent partial meniscectomy, in 2 different orthopaedic clinics, were evaluated retrospectively. The study includes cases with arthroscopic partial meniscectomy for isolated meniscal tears; patients with concomitant knee pathology were excluded. Three hundred forty-one (31%) patients with isolated lateral meniscal tears, 628 (58%) patients with isolated medial meniscal tears, and 121 (11%) patients with both medial and lateral meniscal tears underwent arthroscopic partial meniscectomy. We divided these patients into 3 subgroups on the basis of their BMI; <26, between 26 and 30, ≥30. Preoperative functional results were compared with 1-year postoperative follow-up results using the International Knee Documentation Committee (IKDC),(26) Lysholm Knee Scale,(27) and Oxford Scoring System(28) scores. RESULTS: According to all 3 knee scales, age, side of lesion, and tear type had no effect on functional outcome. When compared with the group with BMI <26, the patients with BMI between 26 and 30 and the patients with BMI ≥30 had significantly worse outcomes as measured by the IKDC, Oxford Scoring System, and Lysholm Knee Scale scores. Patients with BMI between 26 and 30 and ≥30 did not have significantly different functional outcomes. CONCLUSIONS: Short-term outcomes after arthroscopic partial menisectomy reflect significant improvement in subjective outcome. However, patients with moderate or significant obesity (BMI >26) have inferior short-term outcomes compared with nonobese patients. LEVEL OF EVIDENCE: Level IV, therapeutic case series. |
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Authors:
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Mehmet Erdil; Kerem Bilsel; Mustafa Sungur; Goksel Dikmen; Nejat Tuncer; Gokhan Polat; Nuh Mehmet Elmadag; Ibrahim Tuncay; Mehmet Asik |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2012-12-24 |
Journal Detail:
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Title: Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association Volume: - ISSN: 1526-3231 ISO Abbreviation: Arthroscopy Publication Date: 2012 Dec |
Date Detail:
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Created Date: 2012-12-28 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8506498 Medline TA: Arthroscopy Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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Copyright © 2013 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved. |
Affiliation:
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Department of Orthopedics and Traumatology, Medical Faculty, Bezmialem Vakif University. Electronic address: drmehmeterdil@gmail.com. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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