The Impact of Glucagon-Like Peptide-1 Agonists on Hip and Knee Arthroplasty and Perioperative Considerations.

J Arthroplasty · Jun 2024 · Review

Jacofsky DJ, Springer BD, Mont MA, Ushakumari DS, Sladen RN

Allen Hyman Professor Emeritus of Critical Care Anesthesiology at Columbia University Irving, Medical Center, New York

Adult Reconstruction

SUMMARY — THE REDUCTIONReview highlights the growing use of GLP-1 agonists among arthroplasty patients and discusses perioperative implications, noting more long-term data are needed to guide management.
Abstract, as published

Glucagon-Like Peptide agonists have traditionally been used for glycemic control in diabetic patients. However, there has been a dramatic rise in their utilization for weight loss management. As such, arthroplasty surgeons will encounter an increasing number of patients on these medications, and therefore it is important to understand the implications of their use in the perioperative period. This review will describe the pharmacological actions of these medications as well as the impact on hip and knee arthroplasty patients, and considerations for perioperative management. Because of the rapid adaption and utilization of these drugs, the science is evolving at a fast pace. More and longer-term studies are needed to truly understand the impact of these medications on total joint arthroplasty utilization and in management of these patients in the perioperative period.

Featured in the 2026-09-04 issue.

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