Obesity is associated with higher complication rates in revision total hip arthroplasty.
retrospective_cohort · Level III
Where this comes from
- Record sourced from PubMed, PMID 29657442.
- Also identified by DOI 10.1016/j.jor.2018.01.018 and PMC identifier 5895889.
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Abstract
We examined differences in complication rates between obese and non-obese patients undergoing revision total hip arthroplasty. Sixty-five patients with a BMI ≥30 kg/m<sup>2</sup> and 54 patients with a BMI of <30 kg/m<sup>2</sup> were identified. Obese patients were 2.5 times more likely to suffer a complication than non-obese (38.4% <i>cf</i> 14.8%, p = 0.02). Obese patients were more likely to experience dislocation, leg length discrepancy, fracture, implant loosening, infection and pulmonary embolus. The obese group had a significantly higher revision rate (12.3% <i>cf</i> 1.8%, p = 0.039). Obese patients should be counselled pre-operatively on their elevated risk.
Anatomy
- hip