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


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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
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

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
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

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 = 67 Mean (SD) 95% CL SD t P Supine N = 47 Mean (SD) 95% CL SD t P
LBM (kg) DOS to POD0 1.67 (2.35) 2.01, 2.83 5.81 <0.0001 DOS to POD0 1.30 (2.14) 1.78, 2.68 4.21 <0.001
DOS to POD1 1.82 (2.55) 2.18, 3.08 5.82 <0.0001 DOS to POD1 1.16 (2.19) 1.82, 2.74 3.67 <0.001
POD0 to POD1 0.15 (2.42) 2.06, 2.91 0.51 0.614 POD0 to POD1 -0.14 (2.51) 2.08, 3.14 -0.39 0.701
DLM (kg) DOS to POD0 0.45 (0.67) 0.58, 0.81 5.53 <0.0001 DOS to POD0 0.36 (0.61 0.51, 0.76 4.08 <0.001
DOS to POD1 0.49 (0.72) 0.62, 0.87 5.53 <0.0001 DOS to POD1 0.32 (0.64) 0.53, 0.79 3.41 <0.001
POD0 to POD1 0.03 (0.70) 0.59, 0.84 0.38 0.705 POD0 to POD1 -0.04 (0.71) 0.59, 0.89 -0.42 0.679

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 Model Mean Size
1 (13) MicroPort Evolution F: 5.2; T: 5.2
2 (11) DePuy Synthes Attune F: 5.7; T: 5.0
3 (10) Stryker Triathlon F: 5.4; T: 4.9

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)

The three most commonly implanted metallic acetabular cups.

Rank (N) Implant Brand and Model Mean Size (mm)
1 (12) Zimmer-Biomet G7 55.2
2 (9) DePuy Synthes Pinnacle 54.7
3 (8) MicroPort Proctyl Prime 55.0

The three most commonly implanted metallic femoral stem prostheses.

Rank (N) Implant Brand and Model Mean Size
1 (10) DePuy Synthes Actis 5.9
2 (8) MicroPort Gladiator 4.6
3 (6) Zimmer-Biomet Echo 12.2