Obesity in total hip replacement
- 1 April 2008
- journal article
- research article
- Published by British Editorial Society of Bone & Joint Surgery in The Journal of Bone and Joint Surgery. British volume
- Vol. 90-B (4), 424-429
- https://doi.org/10.1302/0301-620x.90b4.20522
Abstract
A prospective, multi-centre study was carried out on 1421 total hip replacements between January 1999 and July 2007 to examine if obesity has an effect on clinical outcomes. The patients were categorised into three groups: non-obese (body mass index (BMI) < 30 kg/m2), obese (BMI 30 to 40 kg/m2) and morbidly obese (BMI > 40 kg/m2). The primary outcome measure was the change in Oxford hip score at five years. Secondary outcome measures included dislocation and revision rates, increased haemorrhage, deep infection, deep-vein thrombosis and pulmonary embolism, mean operating time and length of hospital stay. Radiological analysis assessing heterotopic ossification, femoral osteolysis and femoral stem positioning was performed. Data were incomplete for 362 hips (25.5%) There was no difference in the change in the Oxford hip score, complication rates or radiological changes at five years between the groups. The morbidly obese group was significantly younger and required a significantly longer operating time. Obese and morbidly obese patients have as much to gain from total hip replacement as non-obese patients.Keywords
This publication has 34 references indexed in Scilit:
- Differences in outcomes of obese women and men undergoing primary total hip arthroplastyArthritis Care & Research, 2007
- Clinical Impact of Obesity on Stability Following Revision Total Hip ArthroplastyClinical Orthopaedics and Related Research, 2006
- Total knee replacement in morbidly obese patientsThe Journal of Bone and Joint Surgery. British volume, 2006
- The impact of tobacco use and body mass index on the length of stay in hospital and the risk of post-operative complications among patients undergoing total hip replacementThe Journal of Bone and Joint Surgery. British volume, 2006
- The outcome of total hip replacement in obese and non-obese patients at 10- to 18-yearsThe Journal of Bone and Joint Surgery. British volume, 2006
- Obesity and joint replacementThe Journal of Bone and Joint Surgery. British volume, 2006
- Differences in the views of orthopaedic surgeons and referring practitioners on the determinants of outcome after total hip replacementThe Journal of Bone and Joint Surgery. British volume, 2005
- Comparison of measures to assess outcomes in total hip replacement surgery.Quality and Safety in Health Care, 1996
- Hip replacement in obese patientsActa Orthopaedica, 1987
- ???Modes of Failure??? of Cemented Stem-type Femoral ComponentsClinical Orthopaedics and Related Research, 1979