Weight changes after total hip arthroplasty in elderly patients with femoral neck fracture

doi:10.3877/cma.j.issn.1674-134X.2018.06.002

Abstract

Abstract:

Objective

To investigate the changes of body weight after total hip arthroplasty (THA) in elderly patients with femoral neck fracture.

Methods

The patients received a unilateral primary THA with femoral neck fracture from January 2013 to June 2016 in the department of orthopaedics, the Second People’s Hospital of Liaocheng, were analyzed. Patients were divided into 3 groups according to BMI, 18.5 kg/m²≤BMI<24.0 kg/m² for normal weight group, 24.0 kg/m²≤BMI<28.0 kg/m² for overweight group, and BMI≥28.0 kg/m² for obesity group. The Kaplan-Meier method was used to analyze the time interval in which the body mass index (BMI) decreased by more than 5% after THA.

Results

A total of 78 patients were enrolled in the study. There were 28 patients in the normal weight group, 46 patients in the overweight group, and 4 patients in the obese group. There was no significant difference in age and gender between the three groups (P>0.05). The median survival time to decrease the body mass index by more than 5% after THA in the three groups was 52 months(43, 69)months , 48 months(40, 67)months , 47 months(41, 60)months respectively. A log-rank test was performed (χ² =4.72, P>0.05), indicating that the difference was not statistically significant.

Conclusion

In the normal weight group, the overweight group and the obese group, the median survival time of BMI reduction of more than 5% after THA was basically the same.

Key words: Arthroplasty, replacement, hip, Body mass index, Body weight changes, Aged

Ning Xu, Yuyan Zhang, Yi Zhao, Jingyou Hei, Shiming Liu. Weight changes after total hip arthroplasty in elderly patients with femoral neck fracture[J]. Chinese Journal of Joint Surgery(Electronic Edition), 2018, 12(06): 753-756.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhgjwkzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-134X.2018.06.002

https://zhgjwkzz.cma-cmc.com.cn/EN/Y2018/V12/I06/753

Figures/Tables 1

References 21

[1]	Trofa D, Smith EL, Shah V, et al. Total weight loss associated with increased physical activity after bariatric surgery may increase the need for total joint arthroplasty[J]. Surg Obes Relat Dis, 2014, 10(2)：335-339.
[2]	成人体重判定：WS/T 428－2013[S].2013.
[3]	中华医学会健康管理学分会，中国营养学会，中国医疗保健国际交流促进会生殖医学分会，et al. 超重或肥胖人群体重管理专家共识及团体标准[J]. 中华健康管理学杂志，2018，12(3): 200-207.
[4]	Garvey WT, Mechanick JI, Brett EM, et al. American association of clinical endocrinologists and American college of endocrinology comprehensive clinical practice guidelines for medical care of patients with obesity[J]. Endocr Pract, 2016, 22(Suppl 3)：1-203.
[5]	刘宁，周义钦，陈墅，等. 初次人工全膝关节置换术后感染的危险因素及致病菌分析[J/CD]. 中华关节外科杂志(电子版)，2017，11(5)：461-466.
[6]	Goodnough LH, Finlay AK, Huddleston JR, et al. Obesity is independently associated with early aseptic loosening in primary total hip arthroplasty[J]. J Arthroplasty, 2018, 33(3)：882-886.
[7]	Electricwala AJ, Narkbunnam R, Huddleston JR, et al. Obesity is associated with early total hip revision for aseptic loosening[J]. J Arthroplasty, 2016, 31(9 Suppl)：217-220.
[8]	Wagner ER, Kamath AF, Fruth KM, et al. Effect of body mass index on complications and reoperations after total hip arthroplasty[J]. J Bone Joint Surg Am, 2016, 98(3)：169-179.
[9]	Obesity and total joint arthroplasty: a literature based review[J]. J Arthroplasty, 2013, 28(5)：714-721.
[10]	中国营养学会. 中国居民膳食指南[M]. 北京，人民卫生出版社，2016.41.
[11]	Hurwit DJ, Trehan SK, Cross MB. New joints, same old weight: weight changes after total hip and knee arthroplasty[J]. HSS J, 2016, 12(2)：193-195.
[12]	Ast MP, Abdel MP, Lee YY, et al. Weight changes after total hip or knee arthroplasty: prevalence, predictors, and effects on outcomes[J]. J Bone Joint Surg Am，2015, 97(11): 911-919.
[13]	Teichtahl AJ, Quirk E, Harding P, et al. Weight change following knee and hip joint arthroplasty-a six-month prospective study of adults with osteoarthritis[J]. BMC Musculoskelet Disord, 2015, 16：137.
[14]	Inacio MC, Silverstein DK, Raman R, et al. Weight patterns before and after total joint arthroplasty and characteristics associated with weight change[J]. Permanente J, 2014, 18(1)：25-31.
[15]	Nickel BT, Klement MR, Penrose C, et al. Dislocation rate increases with bariatric surgery before total hip arthroplasty[J]. Hip Int, 2018, 28(5)：559-565.
[16]	Bockelman C, Hahl T, Victorzon M. Mortality following bariatric surgery compared to other common operations in Finland during a 5-year period (2009-2013). A nationwide registry study[J]. Obes Surg, 2017, 27(9)：2444-2451.
[17]	Browne JA, Novicoff WM, D’Apuzzo MR. Medicaid payer status is associated with in-hospital morbidity and resource utilization following primary total joint arthroplasty[J/OL]. J Bone Joint Surg Am，2014, 96(21)：e180.doi：10.2106/JBJS.N.00133.
[18]	Inacio MC, Kritz-Silverstein D, Paxton EW, et al. Do patients lose weight after joint arthroplasty surgery? A systematic review[J]. Clin Orthop Relat Res, 2013, 471(1)：291-298.
[19]	谢朝云，闫飞，文颖，等. 体重指数对髋关节骨性关节炎人工全髋关节置换术后疗效的影响[J]. 医学信息，2014(8)：15-16.
[20]	李强，宋世锋，余斌，等. 初次全髋关节置换治疗老年股骨颈骨折的效果及影响因素[J]. 局解手术学杂志，2018, 27(1)：68-72.
[21]	邓波，王静成，熊传芝，等. 初次全髋关节置换术治疗老年股骨颈骨折的近期疗效及影响因素分析[J]. 中华创伤骨科杂志，2016, 18(11)：994-997.

组别	例数	性别(男/女)	年龄[岁，(±s)]
正常体重组	28	16/12	71±6
超重组	46	17/29	72±4
肥胖组	4	1/3	67±5
统计值	?	χ² ＝2.981	F＝2.623
P值	?	>0.05	>0.05

组别	例数	性别(男/女)	年龄[岁，(±s)]
正常体重组	28	16/12	71±6
超重组	46	17/29	72±4
肥胖组	4	1/3	67±5
统计值	?	χ² ＝2.981	F＝2.623
P值	?	>0.05	>0.05

Please choose a citation manager

Content to export