Browsing by Author "Ruberte Thiele, Ramon A"

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    Percent body fat more associated with perioperative risks after total joint arthroplasty than body mass index
    (The Journal of arthroplasty, 2014-09-01) Ledford, Cameron K; Ruberte Thiele, Ramon A; Appleton, J Stephen; Butler, Robert J; Wellman, Samuel S; Attarian, David E; Queen, Robin M; Bolognesi, Michael P
    Copyright © 2014 Elsevier Inc. All rights reserved.Understanding the impact of obesity on elective total joint arthroplasty (TJA) remains critical. Perioperative outcomes were reviewed in 316 patients undergoing primary TJA. Higher percent body fat (PBF) was associated with postoperative blood transfusion, increased hospital length of stay (LOS) >3 days, and discharge to an extended care facility while no significant differences existed for BMI. Additionally, PBF of 43.5 was associated with a 2.4× greater likelihood of blood transfusion, PBF of 36.5 with a 1.9× greater likelihood for LOS >3 days, and PBF of 36.0 with a 1.4× greater likelihood for discharge to an extended care facility. PBF may be a more effective measure than BMI to use in screening for perioperative risks and acute outcomes associated with obese total joint patients.
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    Unipedal balance is affected by lower extremity joint arthroplasty procedure 1 year following surgery.
    (J Arthroplasty, 2015-02) Butler, Robert J; Ruberte Thiele, Ramon A; Barnes, C Lowry; Bolognesi, Michael P; Queen, Robin M
    Lower Extremity Joint Arthroplasty (LEJA) surgery is an effective way to alleviate painful osteoarthritis. Unfortunately, these surgeries do not normalize the loading asymmetry during the single leg stance phase of gait. Therefore, we examined single leg balance in 234 TJA patients (75 hips, 65 knees, 94 ankles) approximately 12 months following surgery. Patients passed if they maintained single leg balance for 10s with their eyes open. Patients one year following total hip arthroplasty (THA-63%) and total knee arthroplasty (TKA-69%) had similar pass rates compared to a total ankle arthroplasty (TAA-9%). Patients following THA and TKA exhibit better unilateral balance in comparison with TAA patients. It may be beneficial to include a rigorous proprioception and balance training program in TAA patients to optimize functional outcomes.