Common modifiable risk factors in total joint arthroplasty: a 2021 update—obesity

Part 1 | Diabetes

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Part 3 | Smoking

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Contributing experts

This series of articles was created with the support of the following specialists (in alphabetical order):

Matthew P Abdel

Mayo Clinic
Rochester, United States

Steven MacDonald

University of Western Ontario
London, Canada

Michael A Mont

Rubin Institute for Advanced Orthopedics
Baltimore, United States

This article was compiled by Maio Chen, Senior Project Manager Medical Writing, AO Foundation, Switzerland.

References

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  2. Lübbeke A, Zingg M, Vu D, et al. Body mass and weight thresholds for increased prosthetic joint infection rates after primary total joint arthroplasty. Acta Orthop. 2016;87(2):132–138.
  3. Issa K, Harwin SF, Malkani AL, et al. Bariatric Orthopaedics: Total Hip Arthroplasty in Super-Obese Patients (Those with a BMI of ≥50 kg/m2). J Bone Joint Surg Am. 2016 Feb 3;98(3):180–185.
  4. Wagner ER, Kamath AF, Fruth K, et al. Effect of Body Mass Index on Reoperation and Complications After Total Knee Arthroplasty. J Bone Joint Surg Am. 2016 Dec 21;98(24):2052–2060.
  5. George J, Piuzzi NS, Jawad MM, et al. Reliability of International Classification of Diseases, Ninth Edition, Codes to Detect Morbid Obesity in Patients Undergoing Total Hip Arthroplasty. J Arthroplasty. 2018 Sep;33(9):2770–2773.
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  14. Kerkhoffs GM, Servien E, Dunn W, et al. The influence of obesity on the complication rate and outcome of total knee arthroplasty: a meta-analysis and systematic literature review. J Bone Joint Surg Am. 2012 Oct 17;94(20):1839–1844.
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  16. Roth A, Khlopas A, George J, et al. The Effect of Body Mass Index on 30-day Complications After Revision Total Hip and Knee Arthroplasty. J Arthroplasty. 2019 Jul;34(7s):S242–s248.
  17. Giesinger K, Giesinger JM, Hamilton DF, et al. Higher body mass index is associated with larger postoperative improvement in patient-reported outcomes following total knee arthroplasty. BMC Musculoskelet Disord. 2021 Jul 24;22(1):635.
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  20. Elkins JM, Simoens KJ, Callaghan JJ. Lower Extremity Geometry in Morbid Obesity-Considerations for Total Knee Arthroplasty. J Arthroplasty. 2018 Oct;33(10):3304–3312.
  21. Armstrong JG, Morris TR, Sebro R, et al. Prospective Study of Central versus Peripheral Obesity in Total Knee Arthroplasty. Knee Surg Relat Res. 2018 Dec 1;30(4):319–325.