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Relationship of body mass index to early complications in hip replacement surgery

Study performed at Hinchingbrooke Hospital, Orthopaedic Directorate, Huntingdon, Cambridgeshire

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Abstract

The purpose of this study was to evaluate the relationship between body mass index and early complications following total hip replacements. Five hundred and fifty patients who underwent primary total hip replacement were recruited. All these patients were subjected to a pre-operative assessment and follow-up at 6 weeks and 1 year following surgery. Any complications occurring during this period were recorded. Complications were grouped into systemic and local, both subdivided into minor and major depending on the risk involved. Fifty-six patients (10.2%) had an early complication following hip replacement surgery. Forty-four patients (8%) had a major local complication. Overall, there did seem to be a weak correlation between BMI and the rate of complications, with a p value of 0.104. A correlation was also found between the surgeon and presence of complications with a p value of 0.736. There is a weak correlation between BMI and early complications following hip replacement surgery, and there also seems to be a correlation between the operating surgeon and early complications, but this is not statistically significant.

Résumé

Le propos de ce travail est d’évaluer la relation du BMI et des complications précoces pour les prothèses totales de hanche. Méthode: 550 patients ayant bénéficié d’une prothèse totale de hanche ont été évalués. Tous ces patients ont été analysés en préopératoire et à six semaines et un an de recul, après l’intervention. Toutes les complications survenant durant cette période ont été analysées. Les complications ont été groupées en complications générales et complications locales de même elles ont été également divisées en complications mineures et majeures. Résultat: 10.2% des patients (n=56) ont présenté une complication précoce après prothèse totale de hanche, 8% (n=44) ont présenté une complication majeure. Le BMI semble être en corrélation avec le taux des complications de même une corrélation a été trouvée également entre le chirurgien et les complications. En conclusion: le BMI a une corrélation avec les complications précoces après prothèse totale de hanche. Il en est de même en ce qui concerne l’équipe chirurgicale mais pas de façon satistiquement significative.

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Acknowledgements

The authors wish to thank Mr Peter Sewell for the support given in the write-up of the paper and Dr Satish Jandhyala and Dr Lucy Forster for the data quality control. The authors also wish to acknowledge the help of the nurse practitioners at the Hinchingbrooke hospital for their role in obtaining and maintaining the records of all these patients.

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  1. Department of Orthopaedics, Hinchingbrooke Hospital, Huntingdon, Cambridgeshire, UK

    A. D. Patel & M. Albrizio

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  1. A. D. Patel
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  2. M. Albrizio
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Correspondence to M. Albrizio.

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Patel, A.D., Albrizio, M. Relationship of body mass index to early complications in hip replacement surgery. International Orthopaedics (SICO 31, 439–443 (2007). https://doi.org/10.1007/s00264-006-0222-8

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  • DOI: https://doi.org/10.1007/s00264-006-0222-8

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