The Journal Of Bone And Joint Surgery - Volume 100 - Issue 21 - p. 1888-1896

Strategies for Weight Reduction Prior to Total Joint Arthroplasty

Chen Michael J., MD; Bhowmick Subhrojyoti, MBBS, MD; Beseler Lucille, MS, RDN, LDN, CDE; Schneider Kristin L., PhD; Kahan Scott I., MD, MPH; Morton John M., MD; Goodman Stuart B., MD, PhD; Amanatullah Derek F., MD, PhD;

Hip Knee

The number of total joint arthroplasty (TJA) procedures done in patients with obesity is increasing in the United States.
Compared with patients without obesity who undergo TJA, patients with obesity are at increased risk for numerous complications including periprosthetic joint infection and revision TJA.
Weight reduction prior to TJA in patients with obesity may mitigate these severe complications and the associated costs.
A multidisciplinary approach is most effective in order to achieve durable long-term weight loss.
Numerous therapies including behavioral, pharmaceutical, and surgical options exist but must be tailored to the individual patient.

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