Obesity: The Modifiable Risk Factor in Total Joint Arthroplasty

Jared S Bookman; Ran Schwarzkopf; Parthiv Rathod; Richard Iorio; Ajit J Deshmukh

doi:10.1016/j.ocl.2018.02.002

Obesity: The Modifiable Risk Factor in Total Joint Arthroplasty

Orthop Clin North Am. 2018 Jul;49(3):291-296. doi: 10.1016/j.ocl.2018.02.002. Epub 2018 Mar 20.

Authors

Jared S Bookman¹, Ran Schwarzkopf², Parthiv Rathod², Richard Iorio², Ajit J Deshmukh²

Affiliations

¹ Department of Orthopedic Surgery, NYU School of Medicine, NYU Langone Health, NYU Langone Orthopedic Hospital, 301 East 17th Street, Suite 1402, New York, NY 10003, USA. Electronic address: Jared.Bookman@nyumc.org.
² Department of Orthopedic Surgery, NYU School of Medicine, NYU Langone Health, NYU Langone Orthopedic Hospital, 301 East 17th Street, Suite 1402, New York, NY 10003, USA.

PMID: 29929710
DOI: 10.1016/j.ocl.2018.02.002

Abstract

Obesity is an epidemic in the health care system. Obesity poses several challenges and raises unique issues for the arthroplasty surgeon. Obese patients are at higher risk for infection and dislocation. Additionally, obese patients have poorer implant survivorship and functional scores postoperatively. Obesity is a modifiable risk factor and weight loss preoperatively should be strongly considered. Obese patients must be counseled so that they have realistic expectations after total joint arthroplasty.

Keywords: Arthroplasty; Obesity; Risk factors; Total hip arthroplasty; Total knee arthroplasty.

Publication types

Review

MeSH terms

Arthroplasty, Replacement / adverse effects*
Humans
Obesity / complications*
Obesity / surgery
Postoperative Complications / etiology*
Postoperative Complications / prevention & control*
Risk Factors
Weight Loss