TOTAL DİZ PROTEZİ UYGULANAN HASTALARDA OBESİTE VARLIĞININ İNTRAOPERATİF VE ERKEN POSTOPERATİF (HASTANEDE) KOMPLİKASONLAR ÜZERİNE OLAN ETKİSİ

Abstract

OBJECTIVE: Due to the increase in both obesity and total knee prosthesis arthroplasty (TKA), the number of TKA applications in obese patients has increased in recent years. However, it is debatable whether obesity is a risk factor for the complications observed in TKA. The aim of this study is to investigate the effect of obesity on intraoperative and early postoperative (in hospital) complications in patients with TKA.MATERIAL AND METHODS: Patients were divided into 2 groups according to body mass index; Group 1: obese patients (Body mass index: BMI> 30 kg/m2), Group 2: non-obese patients (BMI≤30 kg/m2). Patient files were examined from 4 different perspectives (Demographic data, Preoperative features, Intraoperative features, Postoperative features). T-test was used in the analysis of parametric data, and Chi-square test was used in the analysis of non-parametric data. A value of P<0.05 was considered significant.RESULTS: There was no statistically significant difference between the obese and non-obese patients in respect of the length of hospital stay, the operation time, the tourniquet time, the number of blood transfusions, presence of ischemic heart disease, diabetes, ASA scores, local skin complications, and systemic complications such as deep vein thrombosis, sepsis, pulmonary embolism and mortality. However, a statistically significant difference was found in presence of hypertension, hypothyroidism, and obstructive sleep apnea in the obese group.CONCLUSIONS: There is no difference in terms of local and systemic complications in obese and non-obese patients undergoing TKA.