Hip and Knee Arthroplasty in Patients with Obesity.

J Bone Joint Surg Am · Sep 12 2025 · Review

Koh CK, Garceau S, Grammatopoulos G, Beaulé PE

Division of Orthopaedic Surgery, Orthopaedic Department, The Ottawa Hospital, Canada

Adult Reconstruction

SUMMARY — THE REDUCTIONReviews hip and knee arthroplasty in obese patients, emphasizing higher complication risk, the value of preoperative weight optimization (including bariatric surgery/GLP-1 agonists), and multidisciplinary perioperative care.
Abstract, as published

➢ Obesity is associated with increased postoperative complications and reoperation following total joint arthroplasty.➢ Meaningful functional improvement can be achieved with appropriate measures.➢ Preoperative measures include medical optimization, weight management, and consideration of bariatric surgery and glucagon-like peptide-1 receptor agonists.➢ Perioperative optimization requires an experienced multidisciplinary team and awareness of technical considerations for patients with obesity undergoing total joint arthroplasty.

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