Should Hip and Knee Arthroplasty Be Restricted in the Obese?

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Abstract

The obesity epidemic is likely to increase the demand for hip and knee replacement surgery. In the moderately obese, there is little evidence of significantly increased complications, particularly with regard to hip replacements. In fact, other comorbidities correlate better with outcome. Lower outcome scores are often seen in the obese; however, the overall improvement can be greater than their normal-weight counterparts. There may be an increased risk of infection in morbidly obese patients undergoing knee replacement and patients should be counselled appropriately. Hip and knee prostheses do not appear to fail sooner in obese subjects. Enhanced recovery programs have helped reduce complications and accelerate rehabilitation after surgery. Denying surgery to individuals in pain, where all other treatment has failed, is not justified, whatever their weight.

Keywords

Obesity BMI Hip replacement Knee replacement Arthroplasty Surgical complications 
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Copyright information

© Springer-Verlag London 2014

Authors and Affiliations

  1. 1.The Hip and Knee UnitWest Hertfordshire Hospitals NHS TrustWatfordUK

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