There is a negative relationship between the presence of diabetes mellitus (DM) and the recovery trajectories of all physical performance measures following total knee arthroplasty (TKA). This according to a recent study that aimed to determine if patients with and without DM differed in the recovery of 3 physical performance measures during the first 90 days following TKA. Clinicians should, therefore, closely monitor patients with DM, knowing that they are at higher risk for sustained functional deficits and early complications. Data were collected from 169 patients (37 with DM, 132 without). Physical performance measures included the 4‐meter walk (4mW) test, the 30‐second sit‐to‐stand test (30STS), and the timed‐up‐and‐go test (TUG). A mixed effects model was performed to determine differences in the rate of recovery and 90‐day postoperative scores for all measures. Researchers found:
- Both groups had similar baseline values for all measures.
- Patients with DM demonstrated a slower rate of recovery for the 4mW, and worse scores for 4mW, 30STS, and TUG at the end of 90 days when accounting for significant covariates.
Cheuy VA, Loyd BJ, Hafner W, Kittelson AJ, Waugh D, Stevens-Lapsley JE. Influence of diabetes on the recovery trajectories of function, strength, and self‐report measures after total knee arthroplasty. [Published online ahead of print August 29, 2018]. Arthritis Care Res. doi:10.1002/acr.23741.
This Week's Must Reads
Must Reads in Mixed Topics
Behçet’s Disease Common in the American Southwest, Semin Arthritis Rheum; ePub 2019 Mar 9; Muruganandam, et al
Hidradenitis Suppurativa Common in Patients with SpA, Semin Arthritis Rheum; 2019 Feb; Rondags, Arends, et al
Gout and Risk of Sjogren’s Syndrome in Older Adults, Joint Bone Spine; ePub 2019 Feb 6; Singh, Cleveland