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Body composition changes in the immediate peri-operative period following total joint arthroplasty Cover

Body composition changes in the immediate peri-operative period following total joint arthroplasty

Open Access
|Sep 2022

Figures & Tables

Table I

Demography of patients and select pre-operative markers.

Variable (units)Average (SD)
Age (years)62.64 (10.28)
Male: Female (%)50.8%: 49.2%
TKA: THA (%)50.8%: 49.2%
Baseline BMI (kg/m2)34.84 (7.56)
Baseline Weight (kg)98.22 (25.81)
Baseline LBM (kg)58.07 (14.41)
Baseline DLM (kg)15.67 (3.67)
Figure 1

Comparison of means of change in dry lean mass (DLM) and procedure from the pre-operative scan on the day of surgery to postoperative day 0 (POD0) and day 1 (POD1) for total hip and knee arthroplasty. *Denotes standard deviation

Table IIa

The three most utilized metallic knee prostheses used during the study period. Note, femoral (F) and tibial (T) components were matched in all patients.

Rank (N)Implant Brand and ModelMean Size
1 (13)MicroPort EvolutionF: 5.2; T: 5.2
2 (11)DePuy Synthes AttuneF: 5.7; T: 5.0
3 (10)Stryker TriathlonF: 5.4; T: 4.9
Table IIb

The three most commonly implanted metallic acetabular cups.

Rank (N)Implant Brand and ModelMean Size (mm)
1 (12)Zimmer-Biomet G755.2
2 (9)DePuy Synthes Pinnacle54.7
3 (8)MicroPort Proctyl Prime55.0
Table IIc

The three most commonly implanted metallic femoral stem prostheses.

Rank (N)Implant Brand and ModelMean Size
1 (10)DePuy Synthes Actis5.9
2 (8)MicroPort Gladiator4.6
3 (6)Zimmer-Biomet Echo12.2
Figure 2

Comparison of means of change in dry lean mass (DLM) and scanning position from the pre-operative scan on the day of surgery to post-operative day 0 (POD0) and day 1 (POD1). *Denotes standard deviation

Table III

The results of the paired t-test between changes in dry lean mass (DLM) and lean body mass (LBM) at different peri-operative time points. Separate analyses by positioning (supine and seated – left side; supine – right side) are included.

Supine and Seated N = 67Mean (SD)95% CL SDtPSupine N = 47Mean (SD)95% CL SDtP
LBM (kg)DOS to POD01.67 (2.35)2.01, 2.835.81<0.0001DOS to POD01.30 (2.14)1.78, 2.684.21<0.001
DOS to POD11.82 (2.55)2.18, 3.085.82<0.0001DOS to POD11.16 (2.19)1.82, 2.743.67<0.001
POD0 to POD10.15 (2.42)2.06, 2.910.510.614POD0 to POD1-0.14 (2.51)2.08, 3.14-0.390.701
DLM (kg)DOS to POD00.45 (0.67)0.58, 0.815.53<0.0001DOS to POD00.36 (0.610.51, 0.764.08<0.001
DOS to POD10.49 (0.72)0.62, 0.875.53<0.0001DOS to POD10.32 (0.64)0.53, 0.793.41<0.001
POD0 to POD10.03 (0.70)0.59, 0.840.380.705POD0 to POD1-0.04 (0.71)0.59, 0.89-0.420.679
Language: English
Page range: 39 - 44
Submitted on: May 4, 2022
Accepted on: Aug 26, 2022
Published on: Sep 9, 2022
Published by: University of Oslo
In partnership with: Paradigm Publishing Services

© 2022 Michael C. Marinier, Ayobami S. Ogunsola, Jacob M. Elkins, published by University of Oslo
This work is licensed under the Creative Commons Attribution 4.0 License.