Navigation Links
Obesity may limit overall function 2 years after shoulder replacement surgery
Date:11/7/2013

Rosemont, Ill. Patients with obesity undergo a disproportionately higher number of elective orthopaedic surgeries in the U.S. Obesity has been linked to higher costs, complications, infections and revisions in total knee and total hip replacement surgeries. In a new study published in the Journal of Bone and Joint Surgery, researchers looked at the impact of obesity on the costs and outcomes of total shoulder arthroplasty (TSA) surgery.

"Our study found that with short-term follow-up, obesity does not have a detrimental effect on functional outcomes and complication rates in patients after TSA," said orthopaedic surgeon and lead study author Xinning Li, MD. "In the normal body mass index (BMI) patient group, both the shoulder function and the overall physical function improved after TSA. However, among patients diagnosed with obesity, we found that the shoulder function improved after TSA, but the overall physical function did not improve at final follow-up."

Specific Study Details

The study involved 76 shoulder arthroplasty (replacement) patients who were grouped according to body mass index (BMI). Patients with a BMI of <25 kg/m were classified as "normal" (26 patients); those with a BMI of 25 to 29.9 kg/m, "overweight" (25 patients); and ≥30 kg/m, "obese" (25 patients). Preoperative demographics and complications during and after surgery were recorded. Patients were assessed before surgery, and at two years after surgery, through the American Shoulder and Elbow Surgeons (ASES) questionnaire for pain and function; the Physical Component Summary (PCS) Short Form-36, a more comprehensive assessment of overall function; and analog pain scores.

Key Study Findings

The study results included:

  • Pain diminished comparably in all weight groups at two years post-surgery: from a score of 62 to 12 in the normal weight group, 68 to 18 in the overweight group, and 66 to 11 in the obese group.
  • There was one infection among patients who were overweight that required surgical intervention, and two surgical revisions in the normal weight group.
  • In the normal weight group, the mean ASES scores increased from 38.4 15.5 preoperatively to 80.2 19.2 at two years post-surgery. The PCS score increased from 38.3 6.5 points preoperatively to 53.7 11.3 points at two years post-surgery.
  • In the group with patients who were overweight, ASES scores increased from 37.4 18.1 points to 75.2 24.9; PCS scores increased from 36.1 8 points to 39.8 12.2.
  • In the group diagnosed with obesity, ASES scores increased from 35.8 12.5 to 80 20.6; PCS scores increased from 36.3 8.4 to 40.7 12.4.

"This data suggests that in the normal BMI patient group who are active, that their overall physical function may have been limited due to shoulder pain," said Dr. Li. "Therefore, a total shoulder replacement was able to provide this patient population (normal BMI) with improved shoulder function which resulted in a better physical function.

"Total shoulder arthroplasty is an excellent procedure for pain relief and functional improvement in patients with shoulder arthritis," said Dr. Li.


'/>"/>

Contact: Lauren Pearson Riley
pearson@aaos.org
847-384-4031
American Academy of Orthopaedic Surgeons
Source:Eurekalert

Related medicine news :

1. Disrupted Sleep May Raise Risk for Obesity, Diabetes: Study
2. Obesitys Health Costs Double Earlier Estimates
3. Troubled Homes May Fuel Obesity in Girls
4. Childhood Obesity May Raise Odds of Adult Liver Cancer
5. Could the Childhood Obesity Epidemic Be Ebbing?
6. New research finds no association between white potato consumption (baked, boiled mashed) and obesity, Type 2 diabetes or systemic inflammation
7. Mayo Clinic: Obesity epidemic fueling rise in rheumatoid arthritis among women
8. Treating childhood obesity: A family affair
9. Rising Obesity Rates Might Mean More Rheumatoid Arthritis
10. Research May Point to New Obesity Treatments
11. U.S. Obesity Rate Set to Soar, Costing Billions: CDC
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:3/24/2017)... ... ... The Radiology Business Management Association (RBMA) has named the nine winners ... year, are among the most prestigious in radiology marketing because a panel of radiology ... recognize achievements in both large budget (over $5,000) and small budget (under $5,000) campaigns. ...
(Date:3/24/2017)... ... March 24, 2017 , ... Texas Physical Therapy Specialists (TexPTS) is pleased ... Huebner Road. The clinic is the group’s 7th location in San Antonio and 23rd ... PT, will provide care from the clinic, which opened March 22, 2017. ...
(Date:3/24/2017)... ... March 24, 2017 , ... Mlynarek ... services to families and business owners across eastern Michigan, is connecting with the ... struggling with financial difficulties. , The Oxford/Orion FISH Food Pantry works to ensure ...
(Date:3/24/2017)... ... March 24, 2017 , ... In just two days, Aqua ... micro-veggies garden on Kickstarter . Surpassing the $100,000 milestone so quickly,10-times the ... consumers (and counting) already backing the campaign. , “We are very grateful ...
(Date:3/24/2017)... (PRWEB) , ... March 24, 2017 , ... ... Assili, announce that they are now offering treatments for sleep apnea and TMJ ... dental offices. Sleep apnea , specifically the obstructive type, is increasingly being ...
Breaking Medicine News(10 mins):
(Date:3/24/2017)... , March 24, 2017 ... the industry including definitions, classifications, applications and industry chain ... international market including development history, competitive landscape analysis, and ... ... industry spread across 105 pages providing 10 company profiles ...
(Date:3/24/2017)... Research and Markets has announced the addition of the ... to their offering. ... report provides separate comprehensive analytics for the US, Canada ... Asia-Pacific , Latin America , and Rest ... through 2022. Also, a six-year historic analysis is provided for these markets. ...
(Date:3/24/2017)... -- Eli Lilly and Company (NYSE: LLY ... in its U.S. operations in 2017. The company,s ... research laboratories, manufacturing sites, and general and administrative ... for Lilly products, as well as its robust ... pain, diabetes and other unmet medical needs.  ...
Breaking Medicine Technology: