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:2/8/2016)... ... February 08, 2016 , ... ... states in the U.S. require dental technicians to be certified or obtain continuing ... industry, NADL created the “What’s In Your Mouth?” campaign to inform dentists and ...
(Date:2/7/2016)... ... February 07, 2016 , ... Women's Excellence staff, in all four locations, wore ... Wear Red Day is the first Friday each February and a day to bring ... in 3 deaths among women each year – more than all cancers combined. Go ...
(Date:2/7/2016)... ... 2016 , ... Dr. Todd Hobgood , certificated in ... surgical expertise. Technically known as deoxycholic acid or previously as ATX-101, Kybella® ... for reduction of fat below the chin (aka the “double chin”). Medication side ...
(Date:2/6/2016)... ... ... US Sports Camps is proud to sponsor the Bay Area Disc Association's ... leaders, ultimate organizations, and coaches from around the US. The theme for this year’s ... of Youth and Education, describes this year YUCC as “an important conversation we must ...
(Date:2/6/2016)... , ... February 06, 2016 , ... Shark Finds ... announce the launch of a new DRTV campaign with Belly Bands. , Having a ... everything from sprays to puppy pads and find nothing works, get Belly Bands, ...
Breaking Medicine News(10 mins):
(Date:2/8/2016)... Feb. 8, 2016   GS1 US will ... guide them through GS1 Standards implementation to address the ... Unique Device Identification (UDI) rule. Scott ... Beth Gibson , senior director industry development, medical devices, ... director, GS1 US --> Scott ...
(Date:2/8/2016)... Feb. 8, 2016 Nueterra, the ... specialized in the development of equity partnerships ... it has divided its interests between two ... Capital will continue the founding company,s private ... operate a national system of integrated provider ...
(Date:2/8/2016)... Pa. , Feb. 8, 2016   ... November Research Group (NRG),s pharmacovigilance technology services ... system-related consulting services and an Oracle Argus Specialized ... services to Life Sciences companies. ... and expands HighPoint,s life sciences capabilities and provides ...
Breaking Medicine Technology: