Mark M Harrison1, John Morrell, Wilma M Hopman. 1. Human Mobility Research Centre, Kingston General Hospital and the Department of Surgery, Queen's University, Kingston, Ontario, Canada. mmh2@post.queensu.ca
Abstract
PURPOSE: To compare the clinical outcomes in overweight women with those of a group of normal-weight women 4 to 11 years after arthroscopic debridement of the knee. METHODS: A questionnaire containing the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), the short form health survey SF-36, and a survey regarding satisfaction with surgery was mailed to 121 patients. Questionnaire data were supplemented by chart review. RESULTS: Ninety patients (74%) returned completed questionnaires. All scored significantly lower than age-matched normative data on all domains of the SF-36. The normal-weight group had better scores than the obese group, particularly in the physical functioning ( P =.01), role physical ( P =.05), mental health ( P =.11), and role emotional ( P =.11) domains. They were also more satisfied with their surgery ( P <.05), more likely to indicate that they would have the surgery again, and had fewer recurrences of knee pain ( P <.05). CONCLUSIONS: Overweight women have poorer outcomes related to quality of life and satisfaction with surgery than normal-weight women. LEVEL OF EVIDENCE: Level III, Case control study.
PURPOSE: To compare the clinical outcomes in overweight women with those of a group of normal-weight women 4 to 11 years after arthroscopic debridement of the knee. METHODS: A questionnaire containing the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), the short form health survey SF-36, and a survey regarding satisfaction with surgery was mailed to 121 patients. Questionnaire data were supplemented by chart review. RESULTS: Ninety patients (74%) returned completed questionnaires. All scored significantly lower than age-matched normative data on all domains of the SF-36. The normal-weight group had better scores than the obese group, particularly in the physical functioning ( P =.01), role physical ( P =.05), mental health ( P =.11), and role emotional ( P =.11) domains. They were also more satisfied with their surgery ( P <.05), more likely to indicate that they would have the surgery again, and had fewer recurrences of knee pain ( P <.05). CONCLUSIONS: Overweight women have poorer outcomes related to quality of life and satisfaction with surgery than normal-weight women. LEVEL OF EVIDENCE: Level III, Case control study.
Authors: Erica D Taylor; Kelly R Theim; Margaret C Mirch; Samareh Ghorbani; Marian Tanofsky-Kraff; Diane C Adler-Wailes; Sheila Brady; James C Reynolds; Karim A Calis; Jack A Yanovski Journal: Pediatrics Date: 2006-06 Impact factor: 7.124
Authors: Brian P McKeon; Kenneth R Zaslav; Richard H Alfred; R Maxwell Alley; Richard H Edelson; Wayne K Gersoff; Jonathan E Greenleaf; Christopher C Kaeding Journal: Orthop J Sports Med Date: 2020-09-29
Authors: Sophia A Traven; Russell A Reeves; John W Xerogeanes; Harris S Slone Journal: Knee Surg Sports Traumatol Arthrosc Date: 2018-10-29 Impact factor: 4.342