The outcomes of total knee arthroplasty in morbidly obese patients: a systematic review of the literature.
Louis BoyceAnoop PrasadMatthew BarrettSebastian Dawson-BowlingSteven MillingtonSammy A HannaPramod AchanPublished in: Archives of orthopaedic and trauma surgery (2019)
This review suggests an increased mid to long-term revision rate following primary TKA in morbidly obese patients, however, these patients have a functional recovery which is comparable to non-obese individuals. There is also an increased risk of perioperative complications, such as superficial wound infection. Morbidly obese patients should be fully informed of these issues prior to undergoing primary TKA.
Keyphrases
- obese patients
- total knee arthroplasty
- bariatric surgery
- gastric bypass
- roux en y gastric bypass
- total hip
- weight loss
- end stage renal disease
- newly diagnosed
- ejection fraction
- patients undergoing
- prognostic factors
- peritoneal dialysis
- type diabetes
- cardiac surgery
- adipose tissue
- risk factors
- metabolic syndrome
- glycemic control