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Obesity increases the likelihood of total joint replacement surgery among younger adults

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Abstract

We conducted a retrospective review of medical charts of patients, aged 18 to 59 years old, who underwent either a total knee replacement (TKR) or total hip replacement (THR) from January 2002 to December 2004. Of the 204 study subjects, 52% had a TKR while 48% had a THR. Obesity was significantly associated with the need for a TKR or THR when comparing the study group to adults of similar age in the general population (P< 0.0001). Seventy-two percent (146) of the study group was obese and 21% (42) overweight (BMI 25.0 to 29.9 kg/m2) compared to only 26% (596) obese and 34% (732) overweight in the general population. Patients undergoing a TKR were significantly more likely to be obese (BMI>30 kg/m2) than those having a THR, 83% (89) compared to 59% (57) (P< .0006). Our findings support those previously observed in the elderly population. Primary and secondary prevention programs aimed at reducing obesity are strongly recommended.

Résumé

Nous avons réalise une étude rétrospective chez les patients âgés de 18 à 59 ans et ayant nécessité la mise en place d’une prothèse totale de hanche ou du genou de janvier 2002 à décembre 2004. 204 patients ont été étudiés : 52% pour une prothèse du genou, 48% pour une prothèse de hanche. L’obésité est un facteur significativement associé à la nécessité de la mise en place d’une prothèse totale du genou ou d’une prothèse de hanche. Si l’on compare ce groupe, à un groupe similaire de personnes du même âge dans la population générale (p<0.001). 70% soit 146 patients du groupe étudié étaient obèses et 21%, soit 42 patients, en surpoids (BMI 25.0–29.9 Kg/m2) comparé à 26%, soit 596 patients obèses et 34% soit 732 patients en surpoids de la population générale. Les patients nécessitant un remplacement du genou étaient en surcharge pondérale plus importante que les patients nécessitant une prothèse de hanche (BMI> 30 kg/m2) 83% soit 89 patients contre 59% soit 57 patients. Il nous apparaît donc important à la lumière de ces constatations de préconiser une prévention de réduction de l’obésité dans la population.

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Authors and Affiliations

  1. University of North Dakota School of Medicine and Health Sciences, Grand Forks, ND, USA

    S. Harms & R. Larson

  2. Department of Internal Medicine, University of North Dakota School of Medicine and Health Sciences, Grand Forks, ND, USA

    A. E. Sahmoun

  3. Department of Family Medicine, UND School of Medicine and Health Sciences, P.O. Box 9037, Grand Forks, ND, 58202–9037, USA

    J. R. Beal

Authors
  1. S. Harms
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  2. R. Larson
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  3. A. E. Sahmoun
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  4. J. R. Beal
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Correspondence to J. R. Beal.

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Harms, S., Larson, R., Sahmoun, A.E. et al. Obesity increases the likelihood of total joint replacement surgery among younger adults. International Orthopaedics (SICO 31, 23–26 (2007). https://doi.org/10.1007/s00264-006-0130-y

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  • DOI: https://doi.org/10.1007/s00264-006-0130-y

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