Effects of increased body mass index on one year outcomes following soft tissue arthroscopic shoulder instability repair

© 2023 The Authors.

Bibliographische Detailangaben
Veröffentlicht in:JSES international. - 2020. - 7(2023), 5 vom: 20. Sept., Seite 730-736
1. Verfasser: Papalia, Aidan G (VerfasserIn)
Weitere Verfasser: Romeo, Paul V, Gambhir, Neil, Alben, Matthew G, Chowdhury, Tas, Simcox, Trevor, Rokito, Andrew, Virk, Mandeep S
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2023
Zugriff auf das übergeordnete Werk:JSES international
Schlagworte:Journal Article Arthroscopic stabilization Bankart repair Body mass index Obesity Outcomes Shoulder dislocation Shoulder instability
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245 1 0 |a Effects of increased body mass index on one year outcomes following soft tissue arthroscopic shoulder instability repair 
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520 |a Background: The purpose of this study was to investigate the impact of high body mass index on the 1-year minimal outcome following arthroscopic shoulder stabilization 
520 |a Methods: Patients who underwent arthroscopic Bankart repair (ABR) between 2017 and 2021 were identified and assigned to 1 of 3 cohorts based on their preoperative body mass index: normal (18-25), overweight (25-30), and obese (>30). The primary outcomes assessed were postoperative shoulder instability and revision rates. The 3 groups were compared using the Patient-Reported Outcomes Measurement Information System (PROMIS) upper extremity, pain interference, pain intensity, Clinical Global Impression scores, visual analog scale pain scores, and shoulder range of motion at 1 year postoperatively 
520 |a Results: During the study period, 142 patients underwent ABR and had an average age of 35 ± 10 years. Obese patients had a higher percentage of partial rotator cuff tears (60% vs. 27%, odds ratio: 3.2 [1.1, 9.2]; P = .009), longer mean operative time (99.8 ± 40.0 vs. 75.7 ± 28.5 minutes; P < .001), and shorter time to complication (0.5 ± 0 vs. 7.0 ± 0 months; P = .038). After controlling for confounding factors, obesity was associated with a lesser improvement in upper extremity function scores (obese vs. normal: -4.9 [-9.4, -0.5]; P = .029); although this difference exists, found future studies are needed to determine the clinical significance. There were no differences in patient reported outcome measures, recurrence rate, or revision surgery rates between cohorts at any time point (P > .05) 
520 |a Conclusion: Obesity is an independent risk factor for longer operative times but does not confer a higher risk of recurrent instability, revision surgery, or lower outcome scores 1 year following ABR 
650 4 |a Journal Article 
650 4 |a Arthroscopic stabilization 
650 4 |a Bankart repair 
650 4 |a Body mass index 
650 4 |a Obesity 
650 4 |a Outcomes 
650 4 |a Shoulder dislocation 
650 4 |a Shoulder instability 
700 1 |a Romeo, Paul V  |e verfasserin  |4 aut 
700 1 |a Gambhir, Neil  |e verfasserin  |4 aut 
700 1 |a Alben, Matthew G  |e verfasserin  |4 aut 
700 1 |a Chowdhury, Tas  |e verfasserin  |4 aut 
700 1 |a Simcox, Trevor  |e verfasserin  |4 aut 
700 1 |a Rokito, Andrew  |e verfasserin  |4 aut 
700 1 |a Virk, Mandeep S  |e verfasserin  |4 aut 
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773 1 8 |g volume:7  |g year:2023  |g number:5  |g day:20  |g month:09  |g pages:730-736 
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