Strategies for weight reduction prior to total joint arthroplasty

Michael J. Chen, Subhrojyoti Bhowmick, Lucille Beseler, Kristin L. Schneider, Scott I. Kahan, John M. Morton, Stuart B. Goodman, Derek F. Amanatullah

Research output: Contribution to journalReview articlepeer-review

Abstract

• The number of total joint arthroplasty (TJA) procedures done in patients with obesity is increasing in the United States. • Compared with patients without obesity who undergo TJA, patients with obesity are at increased risk for numerous complications including periprosthetic joint infection and revision TJA. • Weight reduction prior to TJA in patients with obesity may mitigate these severe complications and the associated costs. • A multidisciplinary approach is most effective in order to achieve durable long-term weight loss. • Numerous therapies including behavioral, pharmaceutical, and surgical options exist but must be tailored to the individual patient.

Original languageEnglish (US)
Pages (from-to)1888-1896
Number of pages9
JournalJournal of Bone and Joint Surgery - American Volume
Volume100
Issue number21
DOIs
StatePublished - 2018
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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