Obesity is an epidemic in the United States and a growing concern for adult reconstructive surgeons. Patients with obesity are significantly more likely to require total joint arthroplasty (TJA) compared with nonobese counterparts. In addition to being an independent risk factor for the development of complications after TJA, obesity is associated with numerous comorbidities that increase the risk of complicated TJA. Preoperative optimization of both body mass index and comorbidities is essential to reducing the risk burden imposed by this prevalent disease. In recent decades, bariatric surgery has been considered as an experimental technique to alleviate lower extremity osteoarthritic symptoms, obviate the need for TJA, and optimize body mass index in obese patients before TJA. This article reviews the literature related to these topics, and focuses on the reduction of risk in TJA in relation to obesity in general.
NYU Langone Orthopedic Hospital, NYU Langone Health, New York, NY
This project was supported by an unrestricted grant from KCI, an Acelity company. Project management support was provided by MedicusWorks.
The authors declare that they have nothing to disclose.
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