The effects of lower-extremity total joint replacement for arthritis on obesity.

Abstract:

:Total hip or knee replacement patients who are overweight or obese often consider their disabling joint disease a cause for their increased weight. This prospective study investigated weight change in 100 patients after successful total joint replacement to determine whether surgical treatment of hip or knee arthritis leads to weight reduction. Postoperatively, both hip and knee replacement patients gained weight, with no difference in weight gain between hip and knee replacement patients. Younger hip patients gained a significant amount of weight. Patients a with normal body mass index and obese patients did not lose weight, while overweight patients gained a significant amount of weight after surgery. These findings demonstrate successful treatment of lower-extremity arthritis does not lead to weight loss, and obesity should be treated as an independent disease that is not the result of inactivity from arthritis.

journal_name

Orthopedics

journal_title

Orthopedics

authors

Heisel C,Silva M,dela Rosa MA,Schmalzried TP

subject

Has Abstract

pub_date

2005-02-01 00:00:00

pages

157-9

issue

2

eissn

0147-7447

issn

1938-2367

journal_volume

28

pub_type

杂志文章
  • Chemoprophylaxis without intra-articular wound drainage can replace autotransfusion in primary TKA.

    abstract::We compared outcomes in 2 groups undergoing total knee arthroplasty (TKA) with different blood-saving strategies (ie, chemoprophylaxis vs reinfusion). We hypothesized that chemoprophylaxis would lead to reduced blood loss and fewer transfusions, with no increase in associated complications. Group A was a prospective s...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20110427-11

    authors: Hourlier H,Fennema P

    更新日期:2011-06-14 00:00:00

  • Bilateral deltoid myositis ossificans in a weightlifter using anabolic steroids.

    abstract::A 40-year-old male weightlifter presented with a 6-month history of a painless mass in the right deltoid. He had no history of trauma to the shoulder other than an arthroscopic rotator cuff repair a few weeks earlier. Physical examination showed a firm, nontender mass located longitudinally and coinciding with the del...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20140825-92

    authors: Schultzel MM,Johnson MH,Rosenthal HG

    更新日期:2014-09-01 00:00:00

  • Augmentation of bone healing by specific frequency and amplitude compressive strains.

    abstract::A considerable proportion of bone fractures show signs of delayed or impaired healing. A novel device that applies interfragmentary compressive forces to the fracture site was developed and evaluated for its effect on fracture healing. The midshafts of the right tibias of 16 rabbits were osteotomized, leaving a 2-mm g...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: Shadmehr A,Esteki A,Oliaie GR,Torkaman G,Sabbaghian A

    更新日期:2009-03-01 00:00:00

  • Overuse syndromes of the upper extremity in interpreters for the deaf.

    abstract::Fourteen of 80 interpreters (18%) for deaf students at a national center on deafness sought medical care for painful conditions of the upper extremity; 11 others (14%) had less severe or transient symptoms. The conditions were brought on by repetitive use and were relieved by rest. All represented overuse syndromes. T...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: Cohn L,Lowry RM,Hart S

    更新日期:1990-02-01 00:00:00

  • Synovial chondromatosis of pes anserine bursa secondary to osteochondroma.

    abstract::Osteochondromas are common benign bone tumors. Synovial chondromatosis is a benign cartilaginous metaplasia that occurs in the synovium. The authors describe a unique case of synovial chondromatosis developing in the pes anserine bursa secondary to an underlying osteochondroma of the proximal medial tibia. It is unusu...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20140728-90

    authors: Shallop B,Abraham JA

    更新日期:2014-08-01 00:00:00

  • Comparative 5-year results of short hip total hip arthroplasty with Ti- or CoCr-neck adapters.

    abstract::This prospective study investigated revision after modular short stem implantation. Results are presented for 2 different types of neck adapters (titanium and cobalt-chromium [CoCr]). Eighty-five patients with titanium adapters and 87 patients with CoCr adapters underwent follow-up examination after an average of 5.7 ...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20150215-54

    authors: Wittenberg RH,Steffen R

    更新日期:2015-03-01 00:00:00

  • Comparison of intramedullary nailing of distal third tibial shaft fractures: before and after traumatologists.

    abstract::We hypothesized that less malalignment and complications occur with intramedullary nailing of distal third tibia fractures (42A, B, C) after the implementation of orthopedic trauma surgeons to this level II community hospital. We also hypothesized that patients with < or =5 degrees of malalignment have poorer function...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: Obremskey WT,Medina M

    更新日期:2004-11-01 00:00:00

  • Lumbar disk replacement failures: review of 29 patients and rationale for revision.

    abstract::The Charité III (DePuy Spine, Inc, Raynham, Massachusetts) and ProDisc II (Synthes Spine, West Chester, Pennsylvania) artificial disk replacements were approved for use by the United States Food and Drug Administration in October 2004 and January 2006, respectively. The purpose of this study was to retrospectively rev...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20090624-08

    authors: Rosen C,Kiester PD,Lee TQ

    更新日期:2009-08-01 00:00:00

  • Avascular necrosis of the femoral head in children with acute lymphoblastic leukemia: a 4- to 9-year follow-up study.

    abstract::Avascular necrosis of the femoral head is usually seen in children aged 1.5 to 10 years, reaching a peak incidence between the ages of 4 and 9. Avascular necrosis of the femoral head is a known complication of corticosteroid therapy in acute lymphoblastic leukemia. There are few reports in the literature regarding the...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20110826-07

    authors: Madadi F,Shamsian BS,Alavi S,Madadi F,Eajazi A,Aslani A

    更新日期:2011-10-05 00:00:00

  • Cloud-based preoperative planning for total hip arthroplasty: a study of accuracy, efficiency, and compliance.

    abstract::As digital radiography becomes more prevalent, several systems for digital preoperative planning have become available. The purpose of this study was to evaluate the accuracy and efficiency of an inexpensive, cloud-based digital templating system, which is comparable with acetate templating. However, cloud-based templ...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20120725-05

    authors: Maratt JD,Srinivasan RC,Dahl WJ,Schilling PL,Urquhart AG

    更新日期:2012-08-01 00:00:00

  • Femoral stem displacement during closed reduction of a dislocated bipolar hemiarthroplasty of the hip.

    abstract::This article describes a case of femoral stem displacement during closed reduction of a redislocated bipolar hemiarthroplasty of the hip in a 72-year-old woman who had undergone bipolar hemiarthroplasty using a polished, tapered cemented femoral stem. The polished, tapered cemented femoral stem is vulnerable to displa...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20100104-28

    authors: Yun HH,Park JH,Park JW,Lee JW

    更新日期:2010-02-01 00:00:00

  • The post-discharge prophylactic management of the orthopedic patient with low-molecular-weight heparin: enoxaparin.

    abstract::ABSTRACTThis prospective, double-blind trial was performed to determine whether 4 weeks' prophylaxis with enoxaparin after total hip replacement (THR) is more effective in protecting against deep vein thrombosis (DVT) than prophylaxis during hospitalization. Two hundred sixty-two patients undergoing THR were given eno...

    journal_title:Orthopedics

    pub_type: 社论

    doi:10.3928/0147-7447-19970202-09

    authors: Nilsson PE,Bergqvist D,Benoni G,Björgell O,Fredin H,Hedlund U,Nicolas S,Nylander G

    更新日期:1997-02-01 00:00:00

  • Survival, Tumor Recurrence, and Function Following Shoulder Girdle Limb Salvage at 24 to 35 Years of Follow-up.

    abstract::Limb salvage is the treatment of choice for malignant shoulder girdle tumors; however, there is a paucity of data examining the long-term outcome. The authors have previously reported on a cohort of patients at short- and mid-term follow-up. The purpose of this study was to report the long-term outcome of shoulder rec...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20191001-01

    authors: Scorianz M,Houdek MT,Sherman CE,Sim FH,O'Connor MI

    更新日期:2019-11-01 00:00:00

  • Isolated acute dislocation of the proximal tibiofibular joint.

    abstract::Lesions of knee's lateral side are less common than medial injuries. The anatomy of the lateral ligaments and the presence of additional structures (eg, fibula head) can cause diagnostic problems. Isolated dislocation of the proximal tibiofibular joint is unusual; therefore, it may be overlooked in the emergency depar...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: Iosifidis MI,Giannoulis I,Tsarouhas A,Traios S

    更新日期:2008-06-01 00:00:00

  • Analysis of the mechanical properties of locking plates with and without screw hole inserts.

    abstract::The purpose of this study was to determine if the use of screw hole inserts in empty locking screw holes improves the strength and failure characteristics of locking plates. Twenty 5-hole 1/3 tubular locking plates (Synthes, Paoli, Pennsylvania) were mounted on an oak dowel with a 1-cm gap simulating a fracture with c...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20101123-13

    authors: Eichinger JK,Herzog JP,Arrington ED

    更新日期:2011-01-03 00:00:00

  • Finite element analysis of 3 posterior fixation techniques in the lumbar spine.

    abstract::This study compared the biomechanics of 3 fixation techniques: bilateral pedicle screw (BPS) fixation, unilateral pedicle screw (UPS) fixation, and UPS supplemented with translaminar facet screw (UPS+TLFS) fixation. The study was conducted in an L3-L5 finite element model. Three different finite element models were cr...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20140430-54

    authors: Gong Z,Chen Z,Feng Z,Cao Y,Jiang C,Jiang X

    更新日期:2014-05-01 00:00:00

  • Treatment of considerations in patients with compartment syndrome and an inherited bleeding disorder.

    abstract::In addition to consultation with an experienced hematologist, the following are recommendations regarding compartment syndrome in a patient with an inherited bleeding disorder. Von Willebrand's Disease. Humate-P (rich in von Willebrand factor) is the replacement therapy of choice for surgical procedures in patients wi...

    journal_title:Orthopedics

    pub_type: 杂志文章,评审

    doi:

    authors: Naranja RJ Jr,Chan PS,High K,Esterhai JL Jr,Heppenstall RB

    更新日期:1997-08-01 00:00:00

  • Controversies in Fracture Healing: Early Versus Late Dynamization.

    abstract::Dynamization of fracture fixation constructs provides early rigidity for primary bone healing and late motion for secondary healing. A review of laboratory, animal, and clinical studies investigating the impact, and optimal timing, of dynamization is limited by lack of standardization across studies. However, in anima...

    journal_title:Orthopedics

    pub_type: 杂志文章,评审

    doi:10.3928/01477447-20200213-08

    authors: Schultz BJ,Koval K,Salehi PP,Gardner MJ,Cerynik DL

    更新日期:2020-05-01 00:00:00

  • Measurement of effective pedicle diameter in the human spine.

    abstract::Effective pedicle diameter (EPD), the maximal cancellous diameter of the spinal pedicle, demonstrates the maximal diameter available for transpedicular screw placement. The pedicles of 16 spines from T6 to L5 were measured directly with a graduated mean increase in the EPD ranging from 4.8 mm at T6 to 5.9 mm at L5. Th...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: Banta CJ 2nd,King AG,Dabezies EJ,Liljeberg RL

    更新日期:1989-07-01 00:00:00

  • Use of a continuous external tissue expander in the conversion of a type IIIB fracture to a type IIIA fracture.

    abstract::Various methods have been used for soft tissue coverage of Gustilo-Anderson type IIIB open fractures. These injuries are often contaminated and, by definition, are associated with extensive periosteal stripping and inadequate soft tissue coverage. These characteristics predispose the patient to infection, delayed unio...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20130122-31

    authors: Formby P,Flint J,Gordon WT,Fleming M,Andersen RC

    更新日期:2013-02-01 00:00:00

  • High-Pressure Water Injection Injuries of the Hand May Not Be Trivial.

    abstract::High-pressure water injection injuries of the hand are uncommon, and there is limited literature to guide their treatment. The ideal management of these injuries, whether nonoperative with close observation or early surgical debridement, remains unknown. The authors retrospectively identified a cohort of patients with...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20180123-04

    authors: Bean B,Cook S,Loeffler BJ,Gaston RG

    更新日期:2018-03-01 00:00:00

  • Antibiotic-coated spacers for total hip arthroplasty infection.

    abstract::Total hip arthroplasty (THA) infection imposes a significant burden on the patient and the health care system. Two-stage revision with interval placement of an antibiotic-cement spacer is the standard of care for chronic periprosthetic infections. This treatment allows for the direct delivery of antibiotics to the inf...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20100722-21

    authors: Bloomfield MR,Klika AK,Barsoum WK

    更新日期:2010-09-07 00:00:00

  • Orthopedic Surgeons' Management of Elective Surgery for Patients Who Use Nicotine.

    abstract::Despite significant research documenting the detrimental effects of tobacco, the orthopedic literature lacks evidence regarding how surgeons alter their management of elective surgery when patients use nicotine. To better understand how patients' use of nicotine influences orthopedic surgeons' pre- and postoperative m...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20160901-02

    authors: Lilley M,Krosin M,Lynch TL,Leasure J

    更新日期:2017-01-01 00:00:00

  • A comparison of plate and pin fixation for arthrodesis of the rheumatoid wrist.

    abstract::This retrospective study compared plate fixation versus pin fixation in 57 patients with rheumatoid arthritis who underwent wrist arthrodesis. Fixation was achieved by using plates in 32 patients and longitudinal pins in 25 patients. Clinical follow-up averaged 29 months (range: 12-57 months) and radiographic follow-u...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: Rehak DC,Kasper P,Baratz ME,Hagberg WC,McClain E,Imbriglia JE

    更新日期:2000-01-01 00:00:00

  • Asymptomatic spinal canal migration of clavicular K-wire at the cervicothoracic junction.

    abstract::Unstable clavicular fractures can be treated surgically with pins and wires or with plates. The migration of metallic devices such as Kirschner wires (K-wires) from the shoulder to a variety of anatomical proximal and distal locations is well documented. Spinal migration, however, is rare and is normally associated wi...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20081201-03

    authors: Bennis S,Scarone P,Lepeintre JF,Puyo P,Aldea S,Gaillard S

    更新日期:2008-12-01 00:00:00

  • Thoracoscopic sympathectomy in the management of vasomotor disturbances and complex regional pain syndrome of the hand.

    abstract::Complex regional pain syndrome, vasospastic disorders, and hyperhidrosis are chronic and debilitating upper extremity problems. Twenty-nine consecutive patients treated with thoracoscopic sympathectomy are presented. Diagnoses included complex regional pain syndrome, hyperhidrosis, Buerger's disease, Raynaud's disease...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: Rizzo M,Balderson SS,Harpole DH,Levin LS

    更新日期:2004-01-01 00:00:00

  • Posterolateral corner of the knee: microsurgical analysis of anatomy and morphometry.

    abstract::Reconstruction of the posterolateral corner (PLC) of the knee is essential to restore knee joint function. Controversy exists regarding a standardized nomenclature, the connective attachments and the relationships between them, and the frequency of occurrence among all structures of the PLC. Thirty human cadaveric kne...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20130821-11

    authors: Osti M,Tschann P,Künzel KH,Benedetto KP

    更新日期:2013-09-01 00:00:00

  • Aspiration as an aid to the diagnosis of prosthetic knee instability.

    abstract::Knee instability is a common cause of prosthetic knee failure. This study sought to determine if synovial fluid analysis is a useful tool in diagnosing prosthetic knee instability. Aspirations were performed in 42 knees in which the diagnosis of instability was in doubt. This group was compared to 120 aspirated knees ...

    journal_title:Orthopedics

    pub_type: 临床试验,杂志文章

    doi:10.3928/01477447-20090501-12

    authors: Raab GE,Fehring TK,Odum SM,Mason JB,Griffin WL

    更新日期:2009-05-01 00:00:00

  • Arthroscopic treatment of symptomatic paralabral cysts in the hip.

    abstract::Acetabular labral tears or paralabral cysts in the hip are frequently detected using magnetic resonance imaging or arthrography. Unlike parameniscal cysts in the knee and paralabral cysts in the shoulder, reports of the outcomes of surgical treatment for paralabral cysts in the hip recalcitrant to conservative managem...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20130222-29

    authors: Lee KH,Park YS,Lim SJ

    更新日期:2013-03-01 00:00:00

  • Compartmental syndrome of the forearm: report of an unusual case.

    abstract::Compartmental syndrome of the forearm is a well-recognized complication of upper extremity injuries. An unusual case of the syndrome is presented, which developed after a "sprained" wrist. The etiology of the syndrome in this case was possibly tearing of anterior compartment muscle fibers when the wrist was forcibly e...

    journal_title:Orthopedics

    pub_type: 社论

    doi:10.3928/0147-7447-19840201-17

    authors: Pollock MS,Morris SB,Sadeghpour E

    更新日期:1984-02-01 00:00:00