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Is Obesity Associated with Higher Complication Rates in Total Hip Arthroplasty for High-Riding Dysplastic Hips?

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Abstract

Objective

Developmental dysplasia of the hip (DDH) is a disabling pathology leading to hip problems, such as painful arthritic hip, unstable hip, etc. Total hip arthroplasty (THA) is an effective treatment modality for this condition. Obesity has been shown to be associated with increased rates of complications following orthopaedic surgeries (Journal of Arthroplasty 20:46–50). The hypothesis of this study was that patients with a body mass index (BMI) greater than 30 (obese), who undergo total hip arthroplasty for dysplastic hip, are associated with longer operative and anaesthetic times, longer hospital stays and higher re-admission rates within 30 days.

Methods

All the cases of total hip arthroplasty in patients with high-riding dysplastic hips were reviewed. Evaluation was made of a total of 68 patients comprising 64 females and 4 males, classified into two groups. Patients with BMI < 30 kg/m2 formed the non-obese group and patients with BMI ≥ 30 kg/m2 the obese group.

Results

The mean age was 44.67 ± 6.49 years. BMI was < 30 in 44 (64.7%) patients and > 30 in 24 (35.3%) patients. The data analysis showed that mean surgical time, anaesthesia duration and re-admission rate were significantly higher in the group with BMI ≥ 30(obese) as compared to the group with BMI < 30 (non-obese) (p < 0.01). The complication rate was determined to be higher in the obese group (p < 0.05).

Conclusion

Obese patients performed with total hip arthroplasty for high-riding dysplastic hips had more complications and higher rates of re-admission to hospital compared with the non-obese patients.

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Funding

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Authors and Affiliations

  1. Umraniye Training and Research Hospital, Saglik Bilimleri University, Elmalikent mah., Adem yavuz cad., Umraniye, 34764, İstanbul, Turkey

    Necdet Saglam

  2. Orthopaedic and Traumatology Department, Kanuni Sultan Suleyman Training and Research Hospital, Saglik Bilimleri University, Atakent mah, Istanbul cad. No:1, Kucukcekmece, 34303, İstanbul, Turkey

    Deniz Gulabi & Anil Agar

  3. Orthopaedic and Traumatology Department, Faculty of Medicine, Bezmialem University, Yali Mah. Sahil yolu sok. No:16, Maltepe, 34844, İstanbul, Turkey

    Ahmet Can Erdem

  4. Orthopaedic and Traumatology Department, Faculty of Medicine, Sakarya University, Korucuk Mah. Konuralp Bulvari no: 81, 54290, Adapazarı, Sakarya, Turkey

    Levent Bayam & Mehmet Erdem

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  1. Necdet Saglam
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Correspondence to Anil Agar.

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None of the authors of this manuscript received funding, grants or in-kind support in support of this research or the preparation of this manuscript. The authors have no financial relationships with any company. Each author certifies that he or she has no commercial associations (e.g. consultancies, stock ownership, equity interest, patent/licensing arrangements, etc.) that might pose a conflict of interest in connection with the submitted article. The authors declare that the research for and communication of this independent body of work does not constitute any financial or other conflict of interest.

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The present study was approved by the ethical Committee of Sakarya University, Faculty of Medicine. (2018/158).

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Saglam, N., Gulabi, D., Agar, A. et al. Is Obesity Associated with Higher Complication Rates in Total Hip Arthroplasty for High-Riding Dysplastic Hips?. JOIO 55, 987–992 (2021). https://doi.org/10.1007/s43465-020-00335-9

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  • DOI: https://doi.org/10.1007/s43465-020-00335-9

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