{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T19:42:53Z","timestamp":1793907773083,"version":"4.8.0"},"reference-count":30,"publisher":"Termedia Sp. z.o.o.","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Reumatologia"],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Total knee arthroplasty (TKA) is a\u00a0commonly performed surgery that can successfully treat end-stage osteoarthritis (OA). Obesity is a\u00a0known risk factor for OA and its progression, but its impact on postoperative satisfaction and implant sizing remains unclear. The\u00a0current study aimed to assess the\u00a0association of\u00a0preoperative body mass index (BMI) and lower limb dimensions with TKA component sizing and patient-reported outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and methods<\/jats:title>\n                    <jats:p>We retrospectively assessed 108 patients (43 males, 65 females) undergoing primary TKA with a\u00a0Journey II BCS prosthesis, without patellar resurfacing, between January and November 2023. The\u00a0mean patient age was 67.4 \u00b14.1 years, with a\u00a0mean BMI of\u00a029.3 \u00b13.9 kg\/m\u00b2. Patients were divided into 2 groups based on BMI: normal weight (&lt; 25; n = 41) and overweight\/obese (\u2265 25; n = 67). Lower limb widths and component sizes were obtained from postoperative radiographs and protocols. Clinical outcomes were evaluated using the\u00a0KOOS and WOMAC questionnaires. Statistical analysis was performed to assess correlations between BMI, limb dimensions, implant size, and patient satisfaction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Significant differences were found between the\u00a0normal-weight and overweight patients in the\u00a0diameters of\u00a0the\u00a0femoral (15.8\u202f\u00b12.1\u202fcm vs. 17.3 \u00b11.9 cm, p = 0.02) and lower leg (14.0 \u00b11.5 cm vs. 12.5 \u00b11.2 cm, p = 0.002) areas. However, no significant correlation was found between BMI, limb dimensions, and implant size for the\u00a0femoral (p = 0.94) and tibial components (p = 0.48). Although patient-reported outcomes were similar between groups, with slightly better results in the\u00a0normal-weight group, no statistical significance was found.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Body mass index affects lower limb sizes but does not predict implant sizing in TKA. Furthermore, no difference in patient satisfaction postoperatively between BMI categories was observed. The\u00a0findings indicate that demographic factors may not be adequate to achieve precision in preoperative templating. Instead, surgical planning should be individualized, based on comprehensive anatomical measurements.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.5114\/reum\/211452","type":"journal-article","created":{"date-parts":[[2025,12,24]],"date-time":"2025-12-24T10:28:51Z","timestamp":1766572131000},"page":"398-404","source":"Crossref","is-referenced-by-count":1,"title":["Body mass index and lower limb diameters in total knee arthroplasty outcomes and surgical planning"],"prefix":"10.5114","volume":"63","author":[{"given":"Marcin","family":"\u0141api\u0144ski","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monika","family":"Wyszy\u0144ska","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emilia","family":"Buzek","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Grzegorz","family":"Maci\u0105g","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bartosz","family":"Maci\u0105g","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olga","family":"Adamska","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atanas","family":"Atanasov","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Artur","family":"Stolarczyk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3061","published-online":{"date-parts":[[2025,12,24]]},"reference":[{"key":"ref-1615803","doi-asserted-by":"publisher","DOI":"10.3892\/etm.2023.12180"},{"key":"ref-1615804","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.17.01617"},{"key":"ref-1615805","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-020-03512-5"},{"key":"ref-1615806","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-021-04041-5"},{"key":"ref-1615807","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2018.01.031"},{"key":"ref-1615808","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-022-05239-3"},{"key":"ref-1615809","doi-asserted-by":"crossref","unstructured":"Sun AR, Udduttula A, Li J, et al. Cartilage tissue engineering for obesity-induced osteoarthritis: physiology, challenges, and future prospects. J Orthop Translat 2021; 26: 3\u201315, DOI: 10.1016\/ j.jot.2020.07.004.","DOI":"10.1016\/j.jot.2020.07.004"},{"key":"ref-1615810","doi-asserted-by":"publisher","DOI":"10.1038\/s41413-024-00388-8"},{"key":"ref-1615811","doi-asserted-by":"publisher","DOI":"10.5772\/intechopen.1003264"},{"key":"ref-1615812","doi-asserted-by":"crossref","unstructured":"Wan Q, Zhang A, Liu Y, et al. The\u00a0influence of\u00a0body mass index on initial stability of\u00a0uncemented femoral knee prostheses: a\u00a0finite element study. Heliyon 2023; 9: e13819, DOI: 10.1016\/ j.heliyon.2023.e13819.","DOI":"10.1016\/j.heliyon.2023.e13819"},{"key":"ref-1615813","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare10091616"},{"key":"ref-1615814","doi-asserted-by":"publisher","DOI":"10.1186\/s42836-022-00113-y"},{"key":"ref-1615815","doi-asserted-by":"publisher","DOI":"10.1080\/17434440.2024.2444408"},{"key":"ref-1615816","doi-asserted-by":"crossref","unstructured":"Gunaratne R, Pratt DN, Banda J, et al. Patient dissatisfaction following total knee arthroplasty: a\u00a0systematic review of the literature. J Arthroplasty 2017; 32: 3854\u20133860, DOI: 10.1016\/ j.arth.2017.07.022.","DOI":"10.1016\/j.arth.2017.07.021"},{"key":"ref-1615817","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2023.03.047"},{"key":"ref-1615818","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-022-04997-4"},{"key":"ref-1615819","unstructured":"World Health Organization. Physical status: the\u00a0use and interpretation of\u00a0anthropometry. Report of\u00a0a\u00a0WHO Expert Committee. World Health Organization, Geneva 1995."},{"key":"ref-1615820","doi-asserted-by":"publisher","DOI":"10.1016\/j.gtc.2023.03.007"},{"key":"ref-1615821","doi-asserted-by":"crossref","unstructured":"Shumnalieva R, Kotov G, Monov S. Obesity-related knee osteoarthritis \u2013 current concepts. Life 2023; 13: 1650, DOI: 10.3390\/ life13081650.","DOI":"10.3390\/life13081650"},{"key":"ref-1615822","doi-asserted-by":"publisher","DOI":"10.1055\/s-0040-1710566"},{"key":"ref-1615823","doi-asserted-by":"publisher","DOI":"10.1111\/jocn"},{"key":"ref-1615824","doi-asserted-by":"crossref","unstructured":"Wagner ER, Kamath AF, Fruth K, et al. Effect of\u00a0body mass index on reoperation and complications after total knee arthroplasty. J Bone Joint Surg Am 2016; 98: 2052\u20132060, DOI: 10.2106\/ JBJS.16.00424.","DOI":"10.2106\/JBJS.16.00093"},{"key":"ref-1615825","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0086035"},{"key":"ref-1615826","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2474-13-116"},{"key":"ref-1615827","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-021-03840-0"},{"key":"ref-1615828","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-013-2443-x"},{"key":"ref-1615829","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.H.00434"},{"key":"ref-1615830","doi-asserted-by":"publisher","DOI":"10.1016\/j.artd.2020.09.013"},{"key":"ref-1615831","doi-asserted-by":"publisher","DOI":"10.1302\/1358-992X.98BSUPP_1.ISTA2014-148"},{"key":"ref-1615832","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-023-06785-0"}],"container-title":["Rheumatology"],"original-title":[],"link":[{"URL":"https:\/\/reu.termedia.pl\/pdf-211452-133223","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/reu.termedia.pl\/pdf-211452-133223","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,24]],"date-time":"2025-12-24T10:28:56Z","timestamp":1766572136000},"score":1,"resource":{"primary":{"URL":"https:\/\/reu.termedia.pl\/Body-mass-index-and-lower-limb-diameters-in-total-knee-arthroplasty-outcomes-and,211452,0,2.html"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,24]]},"references-count":30,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2025]]}},"alternative-id":["211452"],"URL":"https:\/\/doi.org\/10.5114\/reum\/211452","relation":{},"ISSN":["0034-6233","2084-9834"],"issn-type":[{"value":"0034-6233","type":"print"},{"value":"2084-9834","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,24]]}}}