Are Morbidly Obese Patients Undergoing Total Hip Arthroplasty at an Increased Risk For Component Malpositioning?

Obesity Does Not Affect Survival Outcomes in Extremity Soft Tissue Sarcoma

“…Similarly, in the case of total joint arthroplasties, patients who are obese have been reported to have more intraoperative complications [9,16,24]. Presumably owing to the hypertrophied adipose tissue surrounding and abutting the surgical site and complicating the surgical procedure, increases in the complexity and complications from the surgery were reported in these studies [9,16,24]. However, in our study, obesity did not seem to have an effect on the quality of the surgical resection.…”

“…For example, in the case of colorectal cancer resections in patients who are obese, the surgical complexity has been reported to be much greater compared with surgery for patients who are nonobese [20]. Similarly, in the case of total joint arthroplasties, patients who are obese have been reported to have more intraoperative complications [9,16,24]. Presumably owing to the hypertrophied adipose tissue surrounding and abutting the surgical site and complicating the surgical procedure, increases in the complexity and complications from the surgery were reported in these studies [9,16,24].…”

Comparison of Cup Alignment, Jump Distance, and Complications in Consecutive Series of Anterior Approach and Posterior Approach Total Hip Arthroplasty

“…All AP pelvic radiographs were obtained using a standardized technique with the patient supine, legs internally rotated, and the x-ray beam centered on the pubic symphysis. All analyses were performed by a single reviewer who was experienced using Martell's software which has been validated [17] and used by other investigators to measure cup angles [8,9,18]. Component revisions, complications, and specifically dislocations were recorded.…”

Total Hip Arthroplasty in Overweight Patients: Do Obesity and BMI Affect Implant Positioning, Outcomes, and Complications?

“…Also, our results are consistent with those of Elson, McArthur, and Todkar who stated that obesity did not necessarily influence the accuracy of acetabular positioning, referring to inclination and anteversion. [25][26][27] Cup anteversion was found to be significantly lower in men when compared with women. We hypothesize that the morphology of the male pelvis, narrower and more "vertical" than the female one, could influence it.…”