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Inadequate perioperative control of modifiable risk factors in total knee arthroplasty and implications on functional results

Bogdan Crețu1, 2, Catalin Cîrstoiu1, 2, Bogdan Șerban1, 2, Sergiu Iordache1, 2, Adrian Cursaru1, 2,* ✉, Mihai Costache1, 2, Stefan Cristea1, 3

1 - “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania

2 - Department of Orthopedics and Traumatology, University Emergency Hospital, Bucharest, Romania

3 - Department of Orthopedics and Traumatology, Pantelimon Emergency Hospital, Bucharest, Romania

Correspondence: Adrian Cursaru

DOI: https://doi.org/10.1016/j.joca.2010.10.025.

Received: June 04, 2021

Accepted: October 28, 2021

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Abstract:

Diabetes and increased body mass index are two of the most associated comorbidities in patients undergoing total knee arthroplasty. With the number of patients undergoing knee arthroplasty increasing and with the incidence of diabetes and increased BMI, we can expect that in the coming decades the association of the two comorbidities will be frequent. An ethical issue arises when the patients who are refused for total knee arthroplasty are instructed to change the risk factors, and they fail either because of a mental problem or because of a physical problem. This study analyzes the effects of controlled, uncontrolled, uncomplicated and complicated diabetes on the rates of post- knee arthroplasty complications. The study proposes to evaluate obese patients in terms of functional outcomes and postoperative complications after total knee arthroplasty.

Keywords:
body mass index, diabetes, periprosthetic joint, total knee arthroplasty, total knee arthroplasty complications

Inadequate perioperative control of modifiable risk factors in total knee arthroplasty and implications on functional results

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APA Style

Crețu, B., Cîrstoiu, C., Șerban, B., Iordache, S., Cursaru, A., Costache, M., & Cristea, S. (2025). Inadequate perioperative control of modifiable risk factors in total knee arthroplasty and implications on functional results. Romanian Journal of Military Medicine, 125(1), 26-30. https://doi.org/10.1016/j.joca.2010.10.025.

Vancouver Style

Crețu B, Cîrstoiu C, Șerban B, Iordache S, Cursaru A, Costache M, et al. Inadequate perioperative control of modifiable risk factors in total knee arthroplasty and implications on functional results. Rom J Mil Med. 2025;125(1):26-30. doi:10.1016/j.joca.2010.10.025..

Harvard Style

Crețu, B., Cîrstoiu, C., Șerban, B., Iordache, S., Cursaru, A., Costache, M. & Cristea, S. 2025, 'Inadequate perioperative control of modifiable risk factors in total knee arthroplasty and implications on functional results', Romanian Journal of Military Medicine, vol. 125, no. 1, pp. 26-30, doi:10.1016/j.joca.2010.10.025..