Total joint arthroplasty in patients surgically treated for morbid obesity

Javad Parvizi, Robert T. Trousdale, Michael G. Sarr

Research output: Contribution to journalArticle

79 Citations (Scopus)

Abstract

The results of 20 total hip and knee arthroplasties performed in patients with morbid obesity who were treated with bariatric surgery before arthroplasty are reviewed. Bariatric surgery was successful in reducing the Quetelet ratio (weight in kilogram divided by height in square meters) of patients from a mean of 49 kg/m2 (range, 38-56 kg/m2) to a mean of 29 kg/m2 (range, 25-32 kg/m2). The average time from bariatric surgery to arthroplasty was 23 months (range, 7-65 months). The cumulative Knee ociety score had improved significantly from a mean of 103.6 (range, 45-165) before arthroplasty to a mean of 148.9 (range, 66-185) at final follow-up in 12 knees undergoing total knee arthroplasty (P < .01). The Harris hip score also had increased significantly from a prearthroplasty mean of 40 (range, 25-55) to 67.5 (range, 50-95) at final follow-up in 8 hips receiving total hip arthroplasties (P < .05). All but 1 patient with continuing patellofemoral pain were satisfied with the result of the arthroplasty at final follow-up. One hip was revised at 5 years for aseptic loosening of the femoral component; no knee revisions were required. All other prostheses were stable with no evidence of radiographic loosening or wear at final surveillance. Morbidly obese individuals, with severe degenerative joint disease, who are considered unsuitable for arthroplasty because of excess weight should be considered for bariatric surgery. Total joint arthroplasty after surgical treatment of obesity has an excellent outcome with an acceptable complication rate.

Original languageEnglish (US)
Pages (from-to)1003-1008
Number of pages6
JournalJournal of Arthroplasty
Volume15
Issue number8
DOIs
StatePublished - 2000

Fingerprint

Morbid Obesity
Arthroplasty
Joints
Bariatric Surgery
Hip
Knee
Knee Replacement Arthroplasties
Weights and Measures
Thigh
Osteoarthritis
Prostheses and Implants
Obesity
Pain

Keywords

  • Morbid obesity
  • Total joint arthroplasty

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

Cite this

Total joint arthroplasty in patients surgically treated for morbid obesity. / Parvizi, Javad; Trousdale, Robert T.; Sarr, Michael G.

In: Journal of Arthroplasty, Vol. 15, No. 8, 2000, p. 1003-1008.

Research output: Contribution to journalArticle

Parvizi, Javad ; Trousdale, Robert T. ; Sarr, Michael G. / Total joint arthroplasty in patients surgically treated for morbid obesity. In: Journal of Arthroplasty. 2000 ; Vol. 15, No. 8. pp. 1003-1008.
@article{a9d6f892508e4760addac7448a90bb35,
title = "Total joint arthroplasty in patients surgically treated for morbid obesity",
abstract = "The results of 20 total hip and knee arthroplasties performed in patients with morbid obesity who were treated with bariatric surgery before arthroplasty are reviewed. Bariatric surgery was successful in reducing the Quetelet ratio (weight in kilogram divided by height in square meters) of patients from a mean of 49 kg/m2 (range, 38-56 kg/m2) to a mean of 29 kg/m2 (range, 25-32 kg/m2). The average time from bariatric surgery to arthroplasty was 23 months (range, 7-65 months). The cumulative Knee ociety score had improved significantly from a mean of 103.6 (range, 45-165) before arthroplasty to a mean of 148.9 (range, 66-185) at final follow-up in 12 knees undergoing total knee arthroplasty (P < .01). The Harris hip score also had increased significantly from a prearthroplasty mean of 40 (range, 25-55) to 67.5 (range, 50-95) at final follow-up in 8 hips receiving total hip arthroplasties (P < .05). All but 1 patient with continuing patellofemoral pain were satisfied with the result of the arthroplasty at final follow-up. One hip was revised at 5 years for aseptic loosening of the femoral component; no knee revisions were required. All other prostheses were stable with no evidence of radiographic loosening or wear at final surveillance. Morbidly obese individuals, with severe degenerative joint disease, who are considered unsuitable for arthroplasty because of excess weight should be considered for bariatric surgery. Total joint arthroplasty after surgical treatment of obesity has an excellent outcome with an acceptable complication rate.",
keywords = "Morbid obesity, Total joint arthroplasty",
author = "Javad Parvizi and Trousdale, {Robert T.} and Sarr, {Michael G.}",
year = "2000",
doi = "10.1054/arth.2000.9054",
language = "English (US)",
volume = "15",
pages = "1003--1008",
journal = "Journal of Arthroplasty",
issn = "0883-5403",
publisher = "Churchill Livingstone",
number = "8",

}

TY - JOUR

T1 - Total joint arthroplasty in patients surgically treated for morbid obesity

AU - Parvizi, Javad

AU - Trousdale, Robert T.

AU - Sarr, Michael G.

PY - 2000

Y1 - 2000

N2 - The results of 20 total hip and knee arthroplasties performed in patients with morbid obesity who were treated with bariatric surgery before arthroplasty are reviewed. Bariatric surgery was successful in reducing the Quetelet ratio (weight in kilogram divided by height in square meters) of patients from a mean of 49 kg/m2 (range, 38-56 kg/m2) to a mean of 29 kg/m2 (range, 25-32 kg/m2). The average time from bariatric surgery to arthroplasty was 23 months (range, 7-65 months). The cumulative Knee ociety score had improved significantly from a mean of 103.6 (range, 45-165) before arthroplasty to a mean of 148.9 (range, 66-185) at final follow-up in 12 knees undergoing total knee arthroplasty (P < .01). The Harris hip score also had increased significantly from a prearthroplasty mean of 40 (range, 25-55) to 67.5 (range, 50-95) at final follow-up in 8 hips receiving total hip arthroplasties (P < .05). All but 1 patient with continuing patellofemoral pain were satisfied with the result of the arthroplasty at final follow-up. One hip was revised at 5 years for aseptic loosening of the femoral component; no knee revisions were required. All other prostheses were stable with no evidence of radiographic loosening or wear at final surveillance. Morbidly obese individuals, with severe degenerative joint disease, who are considered unsuitable for arthroplasty because of excess weight should be considered for bariatric surgery. Total joint arthroplasty after surgical treatment of obesity has an excellent outcome with an acceptable complication rate.

AB - The results of 20 total hip and knee arthroplasties performed in patients with morbid obesity who were treated with bariatric surgery before arthroplasty are reviewed. Bariatric surgery was successful in reducing the Quetelet ratio (weight in kilogram divided by height in square meters) of patients from a mean of 49 kg/m2 (range, 38-56 kg/m2) to a mean of 29 kg/m2 (range, 25-32 kg/m2). The average time from bariatric surgery to arthroplasty was 23 months (range, 7-65 months). The cumulative Knee ociety score had improved significantly from a mean of 103.6 (range, 45-165) before arthroplasty to a mean of 148.9 (range, 66-185) at final follow-up in 12 knees undergoing total knee arthroplasty (P < .01). The Harris hip score also had increased significantly from a prearthroplasty mean of 40 (range, 25-55) to 67.5 (range, 50-95) at final follow-up in 8 hips receiving total hip arthroplasties (P < .05). All but 1 patient with continuing patellofemoral pain were satisfied with the result of the arthroplasty at final follow-up. One hip was revised at 5 years for aseptic loosening of the femoral component; no knee revisions were required. All other prostheses were stable with no evidence of radiographic loosening or wear at final surveillance. Morbidly obese individuals, with severe degenerative joint disease, who are considered unsuitable for arthroplasty because of excess weight should be considered for bariatric surgery. Total joint arthroplasty after surgical treatment of obesity has an excellent outcome with an acceptable complication rate.

KW - Morbid obesity

KW - Total joint arthroplasty

UR - http://www.scopus.com/inward/record.url?scp=0033635906&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0033635906&partnerID=8YFLogxK

U2 - 10.1054/arth.2000.9054

DO - 10.1054/arth.2000.9054

M3 - Article

C2 - 11112195

AN - SCOPUS:0033635906

VL - 15

SP - 1003

EP - 1008

JO - Journal of Arthroplasty

JF - Journal of Arthroplasty

SN - 0883-5403

IS - 8

ER -