Return to physical activity and change in body mass index after hypoallergenic medial mobile-bearing unicompartmental knee arthroplasty
Abstract Background The primary purpose of the present prospective study was to consecutively analyse the outcomes of the return to sports activity of patients with positive patch tests undergoing a medial mobile-bearing titanium niobium nitride (TiNbN) unicompartmental knee arthroplasty (UKA). The...
Main Authors: | , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
SpringerOpen
2021-09-01
|
Series: | Journal of Orthopaedics and Traumatology |
Subjects: | |
Online Access: | https://doi.org/10.1186/s10195-021-00598-4 |
id |
doaj-7093339a8e8e4d81be5beab5df59b78f |
---|---|
record_format |
Article |
spelling |
doaj-7093339a8e8e4d81be5beab5df59b78f2021-09-19T11:47:41ZengSpringerOpenJournal of Orthopaedics and Traumatology1590-99211590-99992021-09-012211710.1186/s10195-021-00598-4Return to physical activity and change in body mass index after hypoallergenic medial mobile-bearing unicompartmental knee arthroplastyRiccardo D’Ambrosi0Alessandro Nuara1Ilaria Mariani2Katia Corona3Stefan Mogos4Francesco Catellani5Michael Hantes6Nicola Ursino7IRCCS Istituto Ortopedico GaleazziIRCCS Istituto Ortopedico GaleazziInstitute for Maternal and Child Health-IRCCS “Burlo Garofolo”Dipartimento Di Medicina E Scienze Della Salute Vincenzo Tiberio, Università Degli Studi del MoliseFoișor Orthopaedics HospitalHumanitas GavazzeniDepartment of Orthopaedic Surgery, Faculty of Medicine, University of Thessalia, University Hospital of LarissaIRCCS Istituto Ortopedico GaleazziAbstract Background The primary purpose of the present prospective study was to consecutively analyse the outcomes of the return to sports activity of patients with positive patch tests undergoing a medial mobile-bearing titanium niobium nitride (TiNbN) unicompartmental knee arthroplasty (UKA). The secondary purpose was to ascertain if a higher grade of physical activity leads to a reduction in the body mass index (BMI) of the patients. Material and methods Forty-one patients with positive skin patch tests were included in this prospective study. The clinical evaluation consisted of the University of California, Los Angeles (UCLA) activity scale and the High-Activity Arthroplasty Score (HAAS). Each patient was evaluated the day before surgery (T 0), after 12.37 ± 0.70 months (T 1), and on the day of the final follow-up, after 67.03 ± 18.2 months (T 2). Furthermore, the BMI of each patient was analysed before surgery and during the final follow-up. Results The UCLA and HAAS mean preoperative values ranged from 3.68 ± 1.1.7 and 6.15 ± 0.76 to 6.1 ± 0.76 and 10.34 ± 1.3, respectively, at T 1 (p < 0.0001) and to the final values of 6.34 ± 0.62 and 11.0 ± 8.9, respectively, at T 2 (UCLA: T 2 versus T 1: p = 0.132; T2 versus T 0: p < 0.0001; HAAS: T 2 versus T 1: p = 0.0027; T 2 versus T 0: p < 0.001). BMI ranged from a preoperative value of 27.97 ± 3.63 to a final value of 26.84 ± 3.11 (p < 0.0001). The only differences within the subgroups concerned patients with BMI ≥ 28, showing a superior HAAS at each follow-up (p < 0.05). A positive correlation was found between BMI and HAAS at T 0 and T 2 (p < 0.05). Conclusions This is the first study to evaluate the rate of the return to sports activities and change in BMI following hypoallergenic UKA. The majority of patients reduced their weight following UKA and improved their physical activity, showing outcomes that were comparable to the standard cobalt–chrome (CoCr) prostheses, regardless of gender, age, BMI and implant size. Level of evidence IV – Prospective Cohort Study. Trial registration researchregistry5978—Research Registry www.researchregistry.comhttps://doi.org/10.1186/s10195-021-00598-4Hypoallergenic arthroplastyKnee osteoarthritisReturn to sportUnicompartmental knee arthroplasty |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Riccardo D’Ambrosi Alessandro Nuara Ilaria Mariani Katia Corona Stefan Mogos Francesco Catellani Michael Hantes Nicola Ursino |
spellingShingle |
Riccardo D’Ambrosi Alessandro Nuara Ilaria Mariani Katia Corona Stefan Mogos Francesco Catellani Michael Hantes Nicola Ursino Return to physical activity and change in body mass index after hypoallergenic medial mobile-bearing unicompartmental knee arthroplasty Journal of Orthopaedics and Traumatology Hypoallergenic arthroplasty Knee osteoarthritis Return to sport Unicompartmental knee arthroplasty |
author_facet |
Riccardo D’Ambrosi Alessandro Nuara Ilaria Mariani Katia Corona Stefan Mogos Francesco Catellani Michael Hantes Nicola Ursino |
author_sort |
Riccardo D’Ambrosi |
title |
Return to physical activity and change in body mass index after hypoallergenic medial mobile-bearing unicompartmental knee arthroplasty |
title_short |
Return to physical activity and change in body mass index after hypoallergenic medial mobile-bearing unicompartmental knee arthroplasty |
title_full |
Return to physical activity and change in body mass index after hypoallergenic medial mobile-bearing unicompartmental knee arthroplasty |
title_fullStr |
Return to physical activity and change in body mass index after hypoallergenic medial mobile-bearing unicompartmental knee arthroplasty |
title_full_unstemmed |
Return to physical activity and change in body mass index after hypoallergenic medial mobile-bearing unicompartmental knee arthroplasty |
title_sort |
return to physical activity and change in body mass index after hypoallergenic medial mobile-bearing unicompartmental knee arthroplasty |
publisher |
SpringerOpen |
series |
Journal of Orthopaedics and Traumatology |
issn |
1590-9921 1590-9999 |
publishDate |
2021-09-01 |
description |
Abstract Background The primary purpose of the present prospective study was to consecutively analyse the outcomes of the return to sports activity of patients with positive patch tests undergoing a medial mobile-bearing titanium niobium nitride (TiNbN) unicompartmental knee arthroplasty (UKA). The secondary purpose was to ascertain if a higher grade of physical activity leads to a reduction in the body mass index (BMI) of the patients. Material and methods Forty-one patients with positive skin patch tests were included in this prospective study. The clinical evaluation consisted of the University of California, Los Angeles (UCLA) activity scale and the High-Activity Arthroplasty Score (HAAS). Each patient was evaluated the day before surgery (T 0), after 12.37 ± 0.70 months (T 1), and on the day of the final follow-up, after 67.03 ± 18.2 months (T 2). Furthermore, the BMI of each patient was analysed before surgery and during the final follow-up. Results The UCLA and HAAS mean preoperative values ranged from 3.68 ± 1.1.7 and 6.15 ± 0.76 to 6.1 ± 0.76 and 10.34 ± 1.3, respectively, at T 1 (p < 0.0001) and to the final values of 6.34 ± 0.62 and 11.0 ± 8.9, respectively, at T 2 (UCLA: T 2 versus T 1: p = 0.132; T2 versus T 0: p < 0.0001; HAAS: T 2 versus T 1: p = 0.0027; T 2 versus T 0: p < 0.001). BMI ranged from a preoperative value of 27.97 ± 3.63 to a final value of 26.84 ± 3.11 (p < 0.0001). The only differences within the subgroups concerned patients with BMI ≥ 28, showing a superior HAAS at each follow-up (p < 0.05). A positive correlation was found between BMI and HAAS at T 0 and T 2 (p < 0.05). Conclusions This is the first study to evaluate the rate of the return to sports activities and change in BMI following hypoallergenic UKA. The majority of patients reduced their weight following UKA and improved their physical activity, showing outcomes that were comparable to the standard cobalt–chrome (CoCr) prostheses, regardless of gender, age, BMI and implant size. Level of evidence IV – Prospective Cohort Study. Trial registration researchregistry5978—Research Registry www.researchregistry.com |
topic |
Hypoallergenic arthroplasty Knee osteoarthritis Return to sport Unicompartmental knee arthroplasty |
url |
https://doi.org/10.1186/s10195-021-00598-4 |
work_keys_str_mv |
AT riccardodambrosi returntophysicalactivityandchangeinbodymassindexafterhypoallergenicmedialmobilebearingunicompartmentalkneearthroplasty AT alessandronuara returntophysicalactivityandchangeinbodymassindexafterhypoallergenicmedialmobilebearingunicompartmentalkneearthroplasty AT ilariamariani returntophysicalactivityandchangeinbodymassindexafterhypoallergenicmedialmobilebearingunicompartmentalkneearthroplasty AT katiacorona returntophysicalactivityandchangeinbodymassindexafterhypoallergenicmedialmobilebearingunicompartmentalkneearthroplasty AT stefanmogos returntophysicalactivityandchangeinbodymassindexafterhypoallergenicmedialmobilebearingunicompartmentalkneearthroplasty AT francescocatellani returntophysicalactivityandchangeinbodymassindexafterhypoallergenicmedialmobilebearingunicompartmentalkneearthroplasty AT michaelhantes returntophysicalactivityandchangeinbodymassindexafterhypoallergenicmedialmobilebearingunicompartmentalkneearthroplasty AT nicolaursino returntophysicalactivityandchangeinbodymassindexafterhypoallergenicmedialmobilebearingunicompartmentalkneearthroplasty |
_version_ |
1717375515807973376 |