KNEE ARTHROSCOPIC VISIBILITY ALTERATIONS IN OBESE AND NON-OBESE PATIENTS.
Obesity is a chronic disease and has become the most prevalent public health problem worldwide. The impact of obesity on knee is strong and the BMI is correlated with the different alterations.



Compare surgical visualization of arthroscopic field in partial meniscectomy in obese and non-obese.



Sixty patients were selected, 30 obese and 30 non-obese who underwent arthroscopic partial meniscectomy. The arthroscopic surgical procedures were recorded and analyzed. For the analysis of visualization was used the Johnson's classification (2000).



Were analyzed 48 men and 12 women, the average age was 42.9 years with BMI between 21.56 to 40.14 kg/m2. The distribution of visibility of the surgical field according to the classification was: grade 1 - 38/60 (63.3%); grade 2 - 13/60 (21.6%); grade 3 - 6/60 (10%); grade 4 - 3/60 (5%).



Knee arthroscopy did not show a significant difference in the visibility of arthroscopic field in obese and non-obese patients. Thus, it should not be indicated as the preferred method of diagnostic evaluation of joint changes in these patients.
Postgraduate Program in Principles of Surgery, Evangelic Faculty of Paraná/University Evangelic Hospital of Curitiba/Medical Research Institute, Curitiba, PR, Brazil.
Cássio
C
Zini
Postgraduate Program in Principles of Surgery, Evangelic Faculty of Paraná/University Evangelic Hospital of Curitiba/Medical Research Institute, Curitiba, PR, Brazil.
Edmar
E
Stieven-Filho
Postgraduate Program in Principles of Surgery, Evangelic Faculty of Paraná/University Evangelic Hospital of Curitiba/Medical Research Institute, Curitiba, PR, Brazil.
Fernando Issamu
FI
Tabushi
Postgraduate Program in Principles of Surgery, Evangelic Faculty of Paraná/University Evangelic Hospital of Curitiba/Medical Research Institute, Curitiba, PR, Brazil.
Carmen Australia Paredes Marcondes
CA
Ribas
Postgraduate Program in Principles of Surgery, Evangelic Faculty of Paraná/University Evangelic Hospital of Curitiba/Medical Research Institute, Curitiba, PR, Brazil.
Fernanda Marcondes
FM
Ribas
Postgraduate Program in Principles of Surgery, Evangelic Faculty of Paraná/University Evangelic Hospital of Curitiba/Medical Research Institute, Curitiba, PR, Brazil.
Ana Cristina
AC
Opolski
Postgraduate Program in Principles of Surgery, Evangelic Faculty of Paraná/University Evangelic Hospital of Curitiba/Medical Research Institute, Curitiba, PR, Brazil.
Bruna Olandoski
BO
Erbano
AJR Am J Roentgenol. 2006 Aug;187(2):371-5
16861540
Knee Surg Sports Traumatol Arthrosc. 2008 Sep;16(9):849-54
18536902
Obes Rev. 2006 Aug;7(3):239-50
16866972
Skeletal Radiol. 2003 May;32(5):266-72
12719929
Arthroscopy. 2000 Sep;16(6):648-51
10976127
J Bone Joint Surg Am. 1986 Jan;68(1):71-9
3753605
Knee Surg Sports Traumatol Arthrosc. 2008 Jun;16(6):590-4
18322672
Am J Sports Med. 2010 Sep;38(9):1907-16
20587698
Knee Surg Sports Traumatol Arthrosc. 2006 May;14(5):473-7
16208459
Arthroscopy. 2013 Feb;29(2):232-7
23270789
Am J Prev Med. 2005 May;28(4):364-8
15831342
Int J Mol Sci. 2014 Apr 28;15(5):7250-65
24786088
Am J Sports Med. 2014 Feb;42(2):292-6
24284049
J Bone Joint Surg Am. 1986 Feb;68(2):256-65
3753706
Arthroscopy. 1996 Dec;12(6):746-8
9115566
J Bone Joint Surg Am. 2008 Sep;90(9):1922-31
18762653
Arthroscopy. 1992;8(3):341-4
1418206
Rheumatology (Oxford). 2010 Feb;49(2):308-14
19946021
Cad Saude Publica. 2004 May-Jun;20(3):698-709
15263980
Radiology. 2006 Jun;239(3):805-10
16714462