No influence of body mass index on early outcome following total hip arthroplasty


We reviewed patients who had undergone total hip arthroplasties between January 2000 and October 2002 in order to determine whether a high body mass index (BMI) results in an increase in complications or re-operations. We compared 179 hip arthroplasties in 162 patients with an average BMI of 22.5 (18.6–24.9) with 164 hip arthroplasties in 151 age-matched patients with an average BMI of 33.3 (30–39.6). There was no difference in satisfaction between obese and non-obese patients following arthroplasty using a self-administered validated questionnaire (obese =  91%, non-obese = 93%, p=0.84). At a minimum of one year follow up, there was no statistically significant difference in the rates of complication (obese = 8.7%, non-obese = 7.6%, p=0.76) or revision surgery (obese = 3.6%, non-obese = 3.2%, p=0.85). In the short term a BMI >30 plays no role in an increase in complications or re-operation.


Nous avons revus des malades qui avaient subi une arthroplastie totale de la hanche entre janvier 2000 et octobre 2002 pour déterminer si un index de masse corporelle (BMI) élevé s’accompagnait d’une augmentation des complications ou des réinterventions. Nous avons comparé 179 arthroplasties de la hanche chez 162 malades avec un BMI moyen de 22,5 (18,6–24,9) avec 164 arthroplasties de la hanche chez 151 patients d’âge équivalent avec un BMI moyen de 33,3 (30–39,6). Il n’y avait aucune différence dans la satisfaction après l’arthroplastie entre obèses et non obèses en utilisant un questionnaire validé auto-administré (obèse = 91%, non obèse = 93%, p=0.84). À un minimum d’une année de suivi, il n’y avait aucune différence dans les taux de complication (obèse = 8,7%, non obèse = 7,6%, p=0,76) ou de chirurgie de révision (obèse = 3,6%, non obèse = 3,2%, p=0,85). Dans le court terme un BMI >30 n’a pas d’importance dans la fréquence des complications ou des réinterventions.

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  1. 1.

    Anderson L, Kammerer WS, Greer RB III (1979) Risk factor assessment in 101 total hip arthroplasties. Clin Orthop 141:50–54

    PubMed  Google Scholar 

  2. 2.

    Bostman OM (1994) Prevalence of obesity among patients admitted for elective orthopaedic surgery. Int J Obes 18:709–713

    CAS  Google Scholar 

  3. 3.

    Bowditch MG, Villar RN (1999) Do obese patients bleed more? A prospective study of blood loss at total hip replacement. Ann R Coll Surg Eng 81:198–200

    PubMed  CAS  Google Scholar 

  4. 4.

    Burton BT, Foster WR, Hirsch J, Van Itallie TB (1985) Health implications of obesity: an NIH consensus development conference. Int J Obes 9:155–170

    PubMed  CAS  Google Scholar 

  5. 5.

    Chan CLH, Villar RN (1996) Obesity and quality of life after primary hip arthroplasty. J Bone Jt Surg Br 78:78–81

    CAS  Google Scholar 

  6. 6.

    Chao EYS, Coventry MB (1981) Fracture of the femoral component after total hip replacement. An analysis of fifty-eight cases. J Bone Jt Surg Am 63:1078–1094

    CAS  Google Scholar 

  7. 7.

    Epstein AM, Read L, Hoefer M (1987) The relation of body weight to length of stay and charges for hospital services for patients undergoing elective surgery: a study of two procedures. Am J Public Health 77:993–997

    PubMed  CAS  Article  Google Scholar 

  8. 8.

    Jiganti JJ, Goldstein WM, Williams CS (1993) A comparison of the perioperative morbidity in total joint arthroplasty in the obese and nonobese patient. Clin Orthop 289:175–179

    PubMed  Google Scholar 

  9. 9.

    Karlson EW, Mandl LA, Aweh GN, Sangha O, Liang MH, Grodstein F (2003) Total hip replacement due to osteoarthritis: the importance of age, obesity, and other modifiable risk factors. Am J Med 114:93–98

    Article  PubMed  Google Scholar 

  10. 10.

    Lehman DE, Capello WN, Feinberg JR (1994) Total hip arthroplasty without cement in obese patients. A minimum two-year clinical and radiographic follow-up study. J Bone Jt Surg Am 76:854–862

    CAS  Google Scholar 

  11. 11.

    Soballe K, Christensen F, Luxhoj T (1987) Hip replacements in obese patients. Acta Orthop Scand 58:223–225

    PubMed  CAS  Article  Google Scholar 

  12. 12.

    Strauss RJ, Wise L (1978) Operative risks of obesity. Surg Gynecol Obstet 146:286–291

    PubMed  CAS  Google Scholar 

  13. 13.

    Surin VV, Sundholm K (1983) Survival of patients and prostheses after total hip arthroplasty. Clin Orthop 177:148–153

    PubMed  Google Scholar 

  14. 14.

    van Saase JL, Vandenbroucke JP, van Romunde LK, Valkenburg HA (1998) Osteoarthritis and obesity in the general population. A relationship calling for an explanation. J Rheumatol 15:1152–1158

    Google Scholar 

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Correspondence to T. Ibrahim.

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Ibrahim, T., Hobson, S., Beiri, A. et al. No influence of body mass index on early outcome following total hip arthroplasty. International Orthopaedics (SICO 29, 359–361 (2005).

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  • Body Mass Index
  • High Body Mass Index
  • Average Body Mass Index
  • Revision Rate
  • Total Joint Arthroplasty