[Morbid obesity in total knee arthroplasty: a critical case review].
Identifieur interne : 001579 ( PubMed/Curation ); précédent : 001578; suivant : 001580[Morbid obesity in total knee arthroplasty: a critical case review].
Auteurs : V. Brinkmann ; D. Wohlrab ; E. Esmer ; F. Juch ; K S Delank ; S. FrecheSource :
- Deutsche medizinische Wochenschrift (1946) [ 1439-4413 ] ; 2014.
Descripteurs français
- KwdFr :
- Arthrodèse (), Arthroplastie prothétique de genou (effets indésirables), Femelle, Gonarthrose (), Gonarthrose (imagerie diagnostique), Humains, Infections dues aux prothèses (), Infections dues aux prothèses (imagerie diagnostique), Infections dues aux prothèses (étiologie), Obésité morbide (), Obésité morbide (imagerie diagnostique), Radiographie, Résultat thérapeutique, Sujet âgé.
- MESH :
- effets indésirables : Arthroplastie prothétique de genou.
- imagerie diagnostique : Gonarthrose, Infections dues aux prothèses, Obésité morbide.
- étiologie : Infections dues aux prothèses.
- Arthrodèse, Femelle, Gonarthrose, Humains, Infections dues aux prothèses, Obésité morbide, Radiographie, Résultat thérapeutique, Sujet âgé.
English descriptors
- KwdEn :
- Aged, Arthrodesis (methods), Arthroplasty, Replacement, Knee (adverse effects), Female, Humans, Obesity, Morbid (complications), Obesity, Morbid (diagnostic imaging), Obesity, Morbid (surgery), Osteoarthritis, Knee (complications), Osteoarthritis, Knee (diagnostic imaging), Osteoarthritis, Knee (surgery), Prosthesis-Related Infections (diagnostic imaging), Prosthesis-Related Infections (etiology), Prosthesis-Related Infections (surgery), Radiography, Treatment Outcome.
- MESH :
- adverse effects : Arthroplasty, Replacement, Knee.
- complications : Obesity, Morbid, Osteoarthritis, Knee.
- diagnostic imaging : Obesity, Morbid, Osteoarthritis, Knee, Prosthesis-Related Infections.
- etiology : Prosthesis-Related Infections.
- methods : Arthrodesis.
- surgery : Obesity, Morbid, Osteoarthritis, Knee, Prosthesis-Related Infections.
- Aged, Female, Humans, Radiography, Treatment Outcome.
Abstract
In a 66-year-old obese woman (WHO stage III, BMI 51 kg/m2) pronounced osteoarthritis of the right knee was diagnosed. Because of progressive chronic pain of the right knee joint her walking distance was limited to a few meters. Conservative therapy was exhausted.
DOI: 10.1055/s-0034-1369909
PubMed: 24691690
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V. Brinkmann<affiliation><nlm:affiliation>Department für Orthopädie, Unfall- und Wiederherstellungschirurgie, Universitätsklinikum Halle/Saale.</nlm:affiliation><wicri:noCountry code="subField">Universitätsklinikum Halle/Saale</wicri:noCountry></affiliation><affiliation><nlm:affiliation>Department für Orthopädie, Unfall- und Wiederherstellungschirurgie, Universitätsklinikum Halle/Saale.</nlm:affiliation><wicri:noCountry code="subField">Universitätsklinikum Halle/Saale</wicri:noCountry></affiliation><affiliation><nlm:affiliation>Department für Orthopädie, Unfall- und Wiederherstellungschirurgie, Universitätsklinikum Halle/Saale.</nlm:affiliation><wicri:noCountry code="subField">Universitätsklinikum Halle/Saale</wicri:noCountry></affiliation><affiliation><nlm:affiliation>Orthopädisch-Traumatologisches Zentrum Park-Krankenhaus Leipzig, Leipzig.</nlm:affiliation><wicri:noCountry code="subField">Leipzig</wicri:noCountry></affiliation><affiliation><nlm:affiliation>Department für Orthopädie, Unfall- und Wiederherstellungschirurgie, Universitätsklinikum Halle/Saale.</nlm:affiliation><wicri:noCountry code="subField">Universitätsklinikum Halle/Saale</wicri:noCountry></affiliation><affiliation><nlm:affiliation>Department für Orthopädie, Unfall- und Wiederherstellungschirurgie, Universitätsklinikum Halle/Saale.</nlm:affiliation><wicri:noCountry code="subField">Universitätsklinikum Halle/Saale</wicri:noCountry></affiliation>Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">[Morbid obesity in total knee arthroplasty: a critical case review].</title><author><name sortKey="Brinkmann, V" sort="Brinkmann, V" uniqKey="Brinkmann V" first="V" last="Brinkmann">V. Brinkmann</name><affiliation><nlm:affiliation>Department für Orthopädie, Unfall- und Wiederherstellungschirurgie, Universitätsklinikum Halle/Saale.</nlm:affiliation><wicri:noCountry code="subField">Universitätsklinikum Halle/Saale</wicri:noCountry></affiliation></author><author><name sortKey="Wohlrab, D" sort="Wohlrab, D" uniqKey="Wohlrab D" first="D" last="Wohlrab">D. Wohlrab</name><affiliation><nlm:affiliation>Department für Orthopädie, Unfall- und Wiederherstellungschirurgie, Universitätsklinikum Halle/Saale.</nlm:affiliation><wicri:noCountry code="subField">Universitätsklinikum Halle/Saale</wicri:noCountry></affiliation></author><author><name sortKey="Esmer, E" sort="Esmer, E" uniqKey="Esmer E" first="E" last="Esmer">E. Esmer</name><affiliation><nlm:affiliation>Department für Orthopädie, Unfall- und Wiederherstellungschirurgie, Universitätsklinikum Halle/Saale.</nlm:affiliation><wicri:noCountry code="subField">Universitätsklinikum Halle/Saale</wicri:noCountry></affiliation></author><author><name sortKey="Juch, F" sort="Juch, F" uniqKey="Juch F" first="F" last="Juch">F. Juch</name><affiliation><nlm:affiliation>Orthopädisch-Traumatologisches Zentrum Park-Krankenhaus Leipzig, Leipzig.</nlm:affiliation><wicri:noCountry code="subField">Leipzig</wicri:noCountry></affiliation></author><author><name sortKey="Delank, K S" sort="Delank, K S" uniqKey="Delank K" first="K S" last="Delank">K S Delank</name><affiliation><nlm:affiliation>Department für Orthopädie, Unfall- und Wiederherstellungschirurgie, Universitätsklinikum Halle/Saale.</nlm:affiliation><wicri:noCountry code="subField">Universitätsklinikum Halle/Saale</wicri:noCountry></affiliation></author><author><name sortKey="Freche, S" sort="Freche, S" uniqKey="Freche S" first="S" last="Freche">S. Freche</name><affiliation><nlm:affiliation>Department für Orthopädie, Unfall- und Wiederherstellungschirurgie, Universitätsklinikum Halle/Saale.</nlm:affiliation><wicri:noCountry code="subField">Universitätsklinikum Halle/Saale</wicri:noCountry></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2014">2014</date><idno type="RBID">pubmed:24691690</idno><idno type="pmid">24691690</idno><idno type="doi">10.1055/s-0034-1369909</idno><idno type="wicri:Area/PubMed/Corpus">001579</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001579</idno><idno type="wicri:Area/PubMed/Curation">001579</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">001579</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">[Morbid obesity in total knee arthroplasty: a critical case review].</title><author><name sortKey="Brinkmann, V" sort="Brinkmann, V" uniqKey="Brinkmann V" first="V" last="Brinkmann">V. Brinkmann</name><affiliation><nlm:affiliation>Department für Orthopädie, Unfall- und Wiederherstellungschirurgie, Universitätsklinikum Halle/Saale.</nlm:affiliation><wicri:noCountry code="subField">Universitätsklinikum Halle/Saale</wicri:noCountry></affiliation></author><author><name sortKey="Wohlrab, D" sort="Wohlrab, D" uniqKey="Wohlrab D" first="D" last="Wohlrab">D. Wohlrab</name><affiliation><nlm:affiliation>Department für Orthopädie, Unfall- und Wiederherstellungschirurgie, Universitätsklinikum Halle/Saale.</nlm:affiliation><wicri:noCountry code="subField">Universitätsklinikum Halle/Saale</wicri:noCountry></affiliation></author><author><name sortKey="Esmer, E" sort="Esmer, E" uniqKey="Esmer E" first="E" last="Esmer">E. Esmer</name><affiliation><nlm:affiliation>Department für Orthopädie, Unfall- und Wiederherstellungschirurgie, Universitätsklinikum Halle/Saale.</nlm:affiliation><wicri:noCountry code="subField">Universitätsklinikum Halle/Saale</wicri:noCountry></affiliation></author><author><name sortKey="Juch, F" sort="Juch, F" uniqKey="Juch F" first="F" last="Juch">F. Juch</name><affiliation><nlm:affiliation>Orthopädisch-Traumatologisches Zentrum Park-Krankenhaus Leipzig, Leipzig.</nlm:affiliation><wicri:noCountry code="subField">Leipzig</wicri:noCountry></affiliation></author><author><name sortKey="Delank, K S" sort="Delank, K S" uniqKey="Delank K" first="K S" last="Delank">K S Delank</name><affiliation><nlm:affiliation>Department für Orthopädie, Unfall- und Wiederherstellungschirurgie, Universitätsklinikum Halle/Saale.</nlm:affiliation><wicri:noCountry code="subField">Universitätsklinikum Halle/Saale</wicri:noCountry></affiliation></author><author><name sortKey="Freche, S" sort="Freche, S" uniqKey="Freche S" first="S" last="Freche">S. Freche</name><affiliation><nlm:affiliation>Department für Orthopädie, Unfall- und Wiederherstellungschirurgie, Universitätsklinikum Halle/Saale.</nlm:affiliation><wicri:noCountry code="subField">Universitätsklinikum Halle/Saale</wicri:noCountry></affiliation></author></analytic><series><title level="j">Deutsche medizinische Wochenschrift (1946)</title><idno type="eISSN">1439-4413</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Arthrodesis (methods)</term><term>Arthroplasty, Replacement, Knee (adverse effects)</term><term>Female</term><term>Humans</term><term>Obesity, Morbid (complications)</term><term>Obesity, Morbid (diagnostic imaging)</term><term>Obesity, Morbid (surgery)</term><term>Osteoarthritis, Knee (complications)</term><term>Osteoarthritis, Knee (diagnostic imaging)</term><term>Osteoarthritis, Knee (surgery)</term><term>Prosthesis-Related Infections (diagnostic imaging)</term><term>Prosthesis-Related Infections (etiology)</term><term>Prosthesis-Related Infections (surgery)</term><term>Radiography</term><term>Treatment Outcome</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Arthrodèse ()</term><term>Arthroplastie prothétique de genou (effets indésirables)</term><term>Femelle</term><term>Gonarthrose ()</term><term>Gonarthrose (imagerie diagnostique)</term><term>Humains</term><term>Infections dues aux prothèses ()</term><term>Infections dues aux prothèses (imagerie diagnostique)</term><term>Infections dues aux prothèses (étiologie)</term><term>Obésité morbide ()</term><term>Obésité morbide (imagerie diagnostique)</term><term>Radiographie</term><term>Résultat thérapeutique</term><term>Sujet âgé</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Arthroplasty, Replacement, Knee</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Obesity, Morbid</term><term>Osteoarthritis, Knee</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Obesity, Morbid</term><term>Osteoarthritis, Knee</term><term>Prosthesis-Related Infections</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Arthroplastie prothétique de genou</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Prosthesis-Related Infections</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Gonarthrose</term><term>Infections dues aux prothèses</term><term>Obésité morbide</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Arthrodesis</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Obesity, Morbid</term><term>Osteoarthritis, Knee</term><term>Prosthesis-Related Infections</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Infections dues aux prothèses</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Female</term><term>Humans</term><term>Radiography</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Arthrodèse</term><term>Femelle</term><term>Gonarthrose</term><term>Humains</term><term>Infections dues aux prothèses</term><term>Obésité morbide</term><term>Radiographie</term><term>Résultat thérapeutique</term><term>Sujet âgé</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">In a 66-year-old obese woman (WHO stage III, BMI 51 kg/m2) pronounced osteoarthritis of the right knee was diagnosed. Because of progressive chronic pain of the right knee joint her walking distance was limited to a few meters. Conservative therapy was exhausted.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">24691690</PMID><DateCreated><Year>2014</Year><Month>04</Month><Day>02</Day></DateCreated><DateCompleted><Year>2014</Year><Month>06</Month><Day>25</Day></DateCompleted><DateRevised><Year>2016</Year><Month>11</Month><Day>25</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1439-4413</ISSN><JournalIssue CitedMedium="Internet"><Volume>139</Volume><Issue>15</Issue><PubDate><Year>2014</Year><Month>Apr</Month></PubDate></JournalIssue><Title>Deutsche medizinische Wochenschrift (1946)</Title><ISOAbbreviation>Dtsch. Med. Wochenschr.</ISOAbbreviation></Journal><ArticleTitle>[Morbid obesity in total knee arthroplasty: a critical case review].</ArticleTitle><Pagination><MedlinePgn>774-7</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1055/s-0034-1369909</ELocationID><Abstract><AbstractText Label="HISTORY AND ADMISSION FINDINGS" NlmCategory="METHODS">In a 66-year-old obese woman (WHO stage III, BMI 51 kg/m2) pronounced osteoarthritis of the right knee was diagnosed. Because of progressive chronic pain of the right knee joint her walking distance was limited to a few meters. Conservative therapy was exhausted.</AbstractText><AbstractText Label="INVESTIGATIONS" NlmCategory="METHODS">Clinical examination showed a restricted and painful range of motion of the right knee and distinctive obeseness on the trunk and the extremities including a lipedema/lymphedema.</AbstractText><AbstractText Label="TREATMENT AND COURSE" NlmCategory="METHODS">After a complicated course of treatment lasting for 220 days the total knee replacement ended in an arthrodesis combined with a gastrocnemius muscle flap.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">With respect to this case the high complication-rates in obese patients should be taken into account: Total knee replacement can even lead to loss of the limb in the worst case. In addition to extended preoperative examination this indication should be critically scrutinized.</AbstractText><CopyrightInformation>© Georg Thieme Verlag KG Stuttgart · New York.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Brinkmann</LastName><ForeName>V</ForeName><Initials>V</Initials><AffiliationInfo><Affiliation>Department für Orthopädie, Unfall- und Wiederherstellungschirurgie, Universitätsklinikum Halle/Saale.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wohlrab</LastName><ForeName>D</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Department für Orthopädie, Unfall- und Wiederherstellungschirurgie, Universitätsklinikum Halle/Saale.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Esmer</LastName><ForeName>E</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Department für Orthopädie, Unfall- und Wiederherstellungschirurgie, Universitätsklinikum Halle/Saale.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Juch</LastName><ForeName>F</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Orthopädisch-Traumatologisches Zentrum Park-Krankenhaus Leipzig, Leipzig.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Delank</LastName><ForeName>K S</ForeName><Initials>KS</Initials><AffiliationInfo><Affiliation>Department für Orthopädie, Unfall- und Wiederherstellungschirurgie, Universitätsklinikum Halle/Saale.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Freche</LastName><ForeName>S</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department für Orthopädie, Unfall- und Wiederherstellungschirurgie, Universitätsklinikum Halle/Saale.</Affiliation></AffiliationInfo></Author></AuthorList><Language>ger</Language><PublicationTypeList><PublicationType UI="D002363">Case Reports</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><VernacularTitle>Morbide Adipositas in der Knieendoprothetik: Eine kritische Einzelfallbetrachtung.</VernacularTitle><ArticleDate DateType="Electronic"><Year>2014</Year><Month>04</Month><Day>01</Day></ArticleDate></Article><MedlineJournalInfo><Country>Germany</Country><MedlineTA>Dtsch Med Wochenschr</MedlineTA><NlmUniqueID>0006723</NlmUniqueID><ISSNLinking>0012-0472</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001174" MajorTopicYN="N">Arthrodesis</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D019645" MajorTopicYN="N">Arthroplasty, Replacement, Knee</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="Y">adverse effects</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009767" MajorTopicYN="N">Obesity, Morbid</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D020370" MajorTopicYN="N">Osteoarthritis, Knee</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016459" MajorTopicYN="N">Prosthesis-Related Infections</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName><QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011859" MajorTopicYN="N">Radiography</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2014</Year><Month>4</Month><Day>3</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2014</Year><Month>4</Month><Day>3</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2014</Year><Month>6</Month><Day>26</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">24691690</ArticleId><ArticleId 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