Daniel S Hill1, Matthew Freudmann2, Jamie C Sergeant3,4, Tim Board5. 1. Wrightington Lower Limb Unit, Wrightington Hospital, Appley Bridge, Wigan, Lancashire, WN6 9EP, UK. daniel.hill1@nhs.net. 2. Department of Orthopaedic Surgery, Furness General Hospital, Barrow in Furness, Cumbria, LA14 1GP, UK. 3. Centre for Biostatistics, Manchester Academic Health Science Centre, University of Manchester, Manchester, UK. 4. Arthritis Research UK, Centre for Epidemiology, Centre for Musculoskeletal Research, Manchester Academic Health Science Centre, University of Manchester, Manchester, UK. 5. Wrightington Lower Limb Unit, Wrightington Hospital, Appley Bridge, Wigan, Lancashire, WN6 9EP, UK.
Abstract
INTRODUCTION: The aim of this survey was to explore knee surgeons' opinions and practices regarding the management of symptomatic knee osteoarthritis in obesity. METHODS: Questionnaires were sent electronically to all consultant members of the British Association for Surgery of the Knee. RESULTS: The response rate was 52%. The survey showed considerable practice variation and divided opinion on the evidence base. The majority stated that weight loss should be the first-line treatment. 53% (91/172) stated that such cases should ideally be assessed by a specialist multidisciplinary service; however, only 24% (41/169) would be interested in being the orthopaedic surgeon in such a service. DISCUSSION: The optimal pathway of care for the obese patient with symptomatic knee osteoarthritis remains unclear. Given recent debate around the rationing of knee arthroplasty surgery in obesity, we felt it was timely to survey knee surgeons' current practice. CONCLUSION: Our survey has shown considerable variation in the opinions and practice of surgeons on the management of symptomatic knee osteoarthritis in obesity, together with divided views on current literature.
INTRODUCTION: The aim of this survey was to explore knee surgeons' opinions and practices regarding the management of symptomatic knee osteoarthritis in obesity. METHODS: Questionnaires were sent electronically to all consultant members of the British Association for Surgery of the Knee. RESULTS: The response rate was 52%. The survey showed considerable practice variation and divided opinion on the evidence base. The majority stated that weight loss should be the first-line treatment. 53% (91/172) stated that such cases should ideally be assessed by a specialist multidisciplinary service; however, only 24% (41/169) would be interested in being the orthopaedic surgeon in such a service. DISCUSSION: The optimal pathway of care for the obesepatient with symptomatic knee osteoarthritis remains unclear. Given recent debate around the rationing of knee arthroplasty surgery in obesity, we felt it was timely to survey knee surgeons' current practice. CONCLUSION: Our survey has shown considerable variation in the opinions and practice of surgeons on the management of symptomatic knee osteoarthritis in obesity, together with divided views on current literature.
Entities:
Keywords:
Management of symptomatic knee osteoarthritis in obesity; Outcomes and complications; Surgeons practice; Total knee arthroplasty
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