Abstract
The objective of this study was to examine the influence of obesity on the rate of infection, dislocation, and overall complications in a group of male patients undergoing primary total hip arthroplasty (THA). The study involved a retrospective review of the association of body mass index (BMI) and dislocation, infection, and complications on 255 consecutive male patients who received a THA. BMI of 40 and greater had significantly more dislocations and approached significance for infections. The present study suggests that the risk of infection and dislocation increases only in highly obese males (BMI > 40) in contrast to other studies that have reported a higher risk infection, dislocation, and complications with a BMI of obesity in females (BMI > 30).
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Korner JJ, Eberle MA (2001) An update on the science and therapy of obesity and its relationship to osteoarthritis. Curr Rheumatol Rep 3:101–106
Flegal KM, Carroll MD, Ogden CL, Johnson CL (2002) Prevalence and trends in obesity among US adults, 1999–2000. JAMA 288:1723–1727
Services DoHaH available at: http://www.surgeongeneral.gov/topics/obesity/calltoaction/fact_consequences.htm
Böstman OM (1994) Prevalence of obesity among patients admitted for elective orthopaedic surgery. Int J Obes 18:709–713
Felson DT, Zhang Y (1998) An update on the epidemiology of knee and hip osteoarthritis with a view to prevention. Arthritis Rheum 41:1343–1355
Karlson EW, Mandl LA, Aweh GN, Sangha O, Liang MH, Grodstein F (2003) Total hip replacement due to osteoarthritis: the importance of age, obesity, and other modifiable risk factors. Am J Med 114:93–98
Flugsrud GB, Nordsletten L, Espehaug B, Havelin LI, Engeland A, Meyer HE (2006) The impact of body mass index on later total hip arthroplasty for primary osteoarthritis: a cohort study in 1.2 million persons. Arthritis Rheum 54:802–807
Ibrahim T, Hobson S, Beiri A, Esler CN (2005) No influence of body mass index on early outcome following total hip arthroplasty. Int Orthop 29:359–361
Jain NB et al (2005) Comorbidities increase complication rates in patients having arthroplasty. Clin Orthop Relat Res 435:232–238
Jibodh SR, Gurkan I, Wenz JF (2004) In-hospital outcome and resource use in hip arthroplasty: influence of body mass. Orthopedics 27:594–601
Lübbeke A, Stern R, Garavaglia G, Zurcher L, Hoffmeyer P (2007) Differences in outcomes of obese women and men undergoing primary total hip arthroplasty. Arthritis Rheum 57:327–334
Dominick KL, Golightly YM, Jackson GL (2006) Arthritis prevalence and symptoms among US non-veterans, veterans, and veterans receiving Department of Veterans Affairs Healthcare. J Rheumatol 33:348–354
Heck DA, Maar DC, Lowdermilk GA, Kalasinski LA, Mesko JW (1992) Comparative analysis of total knee arthroplasty in two health care delivery systems. J Arthroplasty 7:93–100
Woolson ST, Rahimtoola ZO (1999) Risk factors for dislocation during the first 3 months after primary total hip replacement. J Arthroplasty 14:662–668
Paterno SA, Lachiewicz PF, Kelley SS (1997) The influence of patient-related factors and the position of the acetabular component on the rate of dislocation after total hip replacement. J bone Joint Surg Am 79:1202–1210
Morrey BF (1992) Instability after total hip arthroplasty. Orthop Clin North Am 23:237–248
Fackler CD, Poss R (1980) Dislocation in total hip arthroplasties. Clin Orthop 151:169–178
Woo RYG, Morrey BF (1982) Dislocations after total hip arthroplasty. J Bone Joint Surg Am 63:214–218
Ali Khan MA, Brakenbury PH, Reynolds IS (1981) Dislocation following total hip replacement. J Bone Joint Surg Br 63-B:214–218
Hedlundh U, Ahnfelt L, Hybbinette CH, Weckstrom J, Fredin H (1996) Surgical experience related to dislocations after total hip arthroplasty. J Bone Joint Surg Br 78:206–209
Kwon MS et al (2006) Does surgical approach affect total hip arthroplasty dislocation rates? Clin Orthop Relat Res 447:34–38
Soong M, Rubash HE, Macaulay W (2004) Dislocation after total hip arthroplasty. J Am Acad Orthop Surg 12:314–321
Hulens M, Vansant G, Lysens R, Claessens AL, Muls E, Brumagne S (2001) Study of differences in peripheral muscle strength of lean versus obese women: an allometric approach. Int J Obes 25:676–681
Vilar-Compte D, Mohar A, Sandoval S, de la Rosa M, Gordillo P, Volkow P (2000) Surgical site infections at the National Cancer Institute in Mexico: a case-control study. Am J Infect Control 28:14–20
Patel VP, Walsh M, Sehgal B, Preston C, DeWal H, Di Cesare PE (2007) Factors associated with prolonged wound drainage after primary total hip and knee arthroplasty. J Bone Joint Surg Am 89:33–38
Namba RS, Paxton L, Fithian DC, Stone ML (2005) Obesity and perioperative morbidity in total hip and total knee arthroplasty patients. J Arthroplasty 20:46–50
Perka C, Labs K, Muschik M, Buttgereit F (2000) The influence of obesity on perioperative morbidity and mortality in revision total hip arthroplasty. Arch Orthop Trauma Surg 120:267–271
Perka C, Paul C, Matziolis G (2004) [Factors influencing perioperative morbidity and mortality in primary hip arthroplasty]. Der Orthopäde 33:715–720
Lehman DE, Capello WN, Feinberg JR (1994) Total hip arthroplasty without cement in obese patients. A minimum two-year clinical and radiographic follow-up study. J Bone Joint Surg Am 76:854–862
Jiganti JG, Goldstein WM, Williams CS (1993) A comparison of the perioperative morbidity in total joint arthroplasty in the obese and nonobese patient. Clin Orthop Relat Res 289:175–179
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Grant, J.A., Viens, N., Bolognesi, M.P. et al. Two-year outcomes in primary THA in obese male veterans administration medical center patients. Rheumatol Int 28, 1105–1109 (2008). https://doi.org/10.1007/s00296-008-0575-y
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DOI: https://doi.org/10.1007/s00296-008-0575-y