title: Association of body mass index and clinical outcome 2 years after unicompartmental knee arthroplasty.
abstract: BACKGROUND
  Unicompartmental knee arthroplasty (UKA) has gained in popularity during the last years. However, the body mass index (BMI) of patients undergoing UKA is controversially discussed in the literature. There is, moreover, a paucity of information available concerning the association of BMI with early clinical outcomes after UKA.
  
  
  METHODS
  We retrospectively reviewed the clinical data of 83 consecutive UKA, 2 years after surgery, and investigated the potential association of BMI and the outcome variables Knee Society Score (KSS), University of California at Los Angeles (UCLA) activity levels, anterior knee pain (AKP), range of motion, and implant failure.
  
  
  RESULTS
  The KSS and UCLA significantly increased from 132 and 4.7 preoperatively to 187.5 and 7.1, respectively, after surgery. Knee flexion significantly improved from 123.7 to 128.4 degrees and the prevalence of extension deficiencies significantly decreased from 28.9 to 15.7%. Three knees (3.6%) failed and were converted to total knee arthroplasty. Failures were not associated with increased BMI (P = 0.387). The BMI had no significant association with KSS values, UCLA levels, and implant failure. We found a weak negative correlation between BMI and postoperative knee flexion (r = -0.285, P = 0.009) and a moderate positive correlation between BMI and the intensity of AKP (r = 0.525, P < 0.001).
  
  
  CONCLUSIONS
  The results of the present study suggest that the BMI of patients undergoing UKA has no major impact on the early clinical outcome 2 years after surgery. There was, however, a definite correlation between the BMI and AKP. Longer follow-up is necessary to determine if overweight and obesity may increase revision rates after UKA.
authors.affiliation: Department of Orthopaedic Surgery, Joint Center, Schulthess Clinic, Lengghalde 2, 8008 Zurich, Switzerland. florian.naal@gmail.com
authors.forename: Florian D
authors.initials: FD
authors.lastname: Naal
authors.forename: Carl
authors.initials: C
authors.lastname: Neuerburg
authors.forename: Gian M
authors.initials: GM
authors.lastname: Salzmann
authors.forename: Monika
authors.initials: M
authors.lastname: Kriner
authors.forename: Fabian
authors.initials: F
authors.lastname: von Knoch
authors.forename: Stefan
authors.initials: S
authors.lastname: Preiss
authors.forename: Tomas
authors.initials: T
authors.lastname: Drobny
authors.forename: Urs
authors.initials: U
authors.lastname: Munzinger
mesh_terms: D000328:Adult; D019645:Arthroplasty, Replacement, Knee; D015992:Body Mass Index; D005260:Female; D006801:Humans; D008297:Male; D010149:Postoperative Pain / Q000453:epidemiology; D012189:Retrospective Studies; D016896:Treatment Outcome