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Evaluation of Functional and Radiological Outcome of Total Knee Replacement Surgery in Obese V/S Non-obese Patients

December 10, 2024/in Vol 9 | Issue 2 | July - Dec 2024 /by editor.jcorth

Journal of Clinical Orthopaedics | Vol 9 | Issue 2 | July-December 2024 | page: 95-99 | Ashish S Phadnis, Saurabh S Ranjalkar, Vijay Kumar, Prathamesh Sangare, Shashank Gabhe DOI: https://doi.org/10.13107/jcorth.2024.v09i02.680 Submitted Date: 16 Aug 2024, Review Date: 27 Sep 2024, Accepted Date: 12 Oct 2024 & Published Date: 10 Dec 2024 Author: Ashish S […]

Mucoid Degeneration of Anterior Cruciate Ligament – A Review of Literature

December 10, 2024/in Vol 9 | Issue 2 | July - Dec 2024 /by editor.jcorth

Journal of Clinical Orthopaedics | Vol 9 | Issue 2 | July-December 2024 | page: 38-43 | Sujit Korday , Pushkar Khandekar , Suhail Kantawala , Nicholas Antao DOI: https://doi.org/10.13107/jcorth.2024.v09i02.658 Submitted Date: 01 Nov 2024, Review Date: 10 Nov 2024, Accepted Date: 28 Nov 2024 & Published Date: 10 Dec 2024 Author: Sujit Korday [1], […]

Evaluation of Functional and Radiological Outcome of Total Knee Replacement Surgery in Obese V/S Non-obese Patients

December 10, 2024/in Vol 9 | Issue 2 | July - Dec 2024 /by editor.jcorth

Mucoid Degeneration of Anterior Cruciate Ligament – A Review of Literature

December 10, 2024/in Vol 9 | Issue 2 | July - Dec 2024 /by editor.jcorth

Full Sized Blog Element (Big Preview Pic)

Evaluation of Functional and Radiological Outcome of Total Knee Replacement Surgery in Obese V/S Non-obese Patients

December 10, 2024/in Vol 9 | Issue 2 | July - Dec 2024 /by editor.jcorth

DOI: https://doi.org/10.13107/jcorth.2024.v09i02.680

Submitted Date: 16 Aug 2024, Review Date: 27 Sep 2024, Accepted Date: 12 Oct 2024 & Published Date: 10 Dec 2024

Author: Ashish S Phadnis [1], Saurabh S Ranjalkar [2], Vijay Kumar [3], Prathamesh Sangare [2], Shashank Gabhe [4]

[1] Department of Orthopaedic Surgery, Jupiter Hospital Thane, Maharashtra, India,
[2] Department of Orthopaedic Surgery, HBT Trauma Hospital, Jogeshwari (E), Mumbai, Maharashtra, India,
[3] Department of Orthopaedic Surgery, ESIC hospital and Dental College, Rohini West, Delhi, India,
[4] Dr Gabhe’s Bones and Joints Clinic, Thane, Maharashtra, India

Address of Correspondence

Dr. Saurabh S Ranjalkar,
Department of Orthopaedic Surgery, HBT Trauma Hospital, Jogeshwari(E), Mumbai, Maharashtra, India
E-mail: saurabh.ranjalkar93@gmail.com

Abstract

Introduction: Primary total knee replacement (TKR) is one of the most commonly performed orthopedic procedures. With the increasing prevalence of obesity and advancing age of the population, it is imperative to know whether the obese patients have inferior or equivalent outcomes as opposed to non-obese patients. Hence, this study was planned to learn the functional and radiological outcomes of TKR surgery in obese and non-obese patients.
Materials and Methods: This prospective observational study included 64 adult patients 32 obese (body mass index [BMI] >30) and 32 non-obese (BMI <30) operated for TKR surgery. Functional outcome was assessed by patient-reported outcome measures using Oxford knee score (OKS) and short form-12 (SF-12) quality of life questionnaires at 6 weeks postoperatively. Radiological outcomes were assessed using pre- and post-operative radiograph and bilateral lower limb scanogram.
Results: On comparing the mean hospital stay, that of obese patients was 8.16 days and that of non-obese patients was 6.72 days (significant). The OKS improved from 14.19 to 37.44 in the obese group and from 14.75 to 38.59 in non-obese group. In obese patients, the physical component of SF-12 score improved from 23.92 to 53.6 postoperatively, and that in non-obese patients went from 27.29 to 53.08. The mean mental component of SF-12 score improved from 48.59 to 56.37 postoperatively in obese patients, in non-obese patients it improved from 53.02 to 57.94 postoperatively (significant). Hip-knee-ankle axis in obese patients on the right side improved from 171.18° to 176.82° (significant), left side from 171.31° to 176.71° whereas in non-obese patients right side from 171.89° to 176.94°, left side from 171.82° to 176.66°. Comorbidities were seen more in obese patients (diabetes 21 of 32 cases, hypertension 17 of 32 cases) than in non-obese patients (diabetes 12 of 32 cases, hypertension 16 of 32 cases). Superficial surgical site infection (SSI) in about 3 of 32 obese patients, whereas no SSI was found in non-obese patients.
Conclusion: The present study assesses the patients’ perception of their outcomes which are important in clinical decision-making. There was no significant difference found in patient perceived parameters, functional and radiological outcomes at end of 6 months following TKR surgery in both obese and non-obese patients.
Keywords: Total knee replacement, body mass index, obese.

References

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How to Cite this article: Phadnis AS, Ranjalkar SS, Kumar V, Sangare P, Gabhe S. Evaluation of Functional and Radiological Outcome of Total Knee Replacement Surgery in Obese V/S Non-obese Patients. Journal of Clinical Orthopaedics July-December 2024;9(2):95-99.

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Mucoid Degeneration of Anterior Cruciate Ligament – A Review of Literature

December 10, 2024/in Vol 9 | Issue 2 | July - Dec 2024 /by editor.jcorth

DOI: https://doi.org/10.13107/jcorth.2024.v09i02.658

Submitted Date: 01 Nov 2024, Review Date: 10 Nov 2024, Accepted Date: 28 Nov 2024 & Published Date: 10 Dec 2024

Author: Sujit Korday [1], Pushkar Khandekar [1], Suhail Kantawala [2], Nicholas Antao [2]

[1] Department of Orthopedics, V. N. Desai Hospital, Santacruz East, Mumbai, Maharashtra, India.
[2] Department of Orthopedics,Holy Spirit Hospital, Mahakali Caves Road, Andheri East, Mumbai, Maharashtra, India.

Address of Correspondence

Dr. Pushkar Khandekar,
Department of Orthopaedics, V. N. Desai Hospital, Santacruz East, Mumbai, Maharashtra, India.
E-mail: drpushkarkhandekar@gmail.com

Abstract

Mucoid degeneration of the anterior cruciate ligament (MD-ACL), once thought to be a rare entity, is seen not so uncommonly in present day orthopaedic practice. Several hypotheses attempt to explain this entity. Clinically, it presents as knee pain with limitation of flexion or extension. There is no specific test available to clinically diagnose MD-ACL. Magnetic Resonance Imaging (MRI) remains the imaging modality of choice to diagnose MD-ACL. Therefore, a high index of suspicion is necessary to be able to diagnose this condition. This article reviews the available literature about the etio-pathological aspects of MD-ACL, its clinical features, radiological and arthroscopic findings, as well as various treatment modalities available.
Keywords: Mucoid degeneration, anterior cruciate ligament, knee, arthroscopy, MRI.

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How to Cite this article: Korday S, Khandekar P, Kantawala S, Antao N. Mucoid Degeneration of Anterior Cruciate Ligament – A Review of Literature. Journal of Clinical Orthopaedics July-December 2024;9(2):38-43.

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Half Sized Blog Element (Multi Author Style)

Evaluation of Functional and Radiological Outcome of Total Knee Replacement Surgery in Obese V/S Non-obese Patients

Mucoid Degeneration of Anterior Cruciate Ligament – A Review of Literature

Evaluation of Functional and Radiological Outcome of Total Knee Replacement Surgery in Obese V/S Non-obese Patients

Mucoid Degeneration of Anterior Cruciate Ligament – A Review of Literature

Full Sized Blog Element (Big Preview Pic)

Evaluation of Functional and Radiological Outcome of Total Knee Replacement Surgery in Obese V/S Non-obese Patients

Author: Ashish S Phadnis [1], Saurabh S Ranjalkar [2], Vijay Kumar [3], Prathamesh Sangare [2], Shashank Gabhe [4]

Abstract

References

Mucoid Degeneration of Anterior Cruciate Ligament – A Review of Literature

Author: Sujit Korday [1], Pushkar Khandekar [1], Suhail Kantawala [2], Nicholas Antao [2]

Abstract

References

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