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A new study suggests that being obese should not preclude joint replacement. Researchers analyzed the results of more than 5,000 people having hip or knee replacement surgery, comparing pain and function before and six months after surgery. Here's what they found:
The proposition of total knee arthroplasty (TKA) or total hip arthroplasty (THA) for a patient with morbid obesity — an individual with a body mass index (BMI) of 40 or greater — requires careful risk and benefit assessment by the orthopedic surgeon and the patient, according to Nicholas A. Bedard, M.D., an orthopedic surgeon at Mayo Clinic ...
Her X-rays confirmed that her left knee has end-stage osteoarthritis that can benefit from a knee replacement as soon as possible; the right knee is likely soon to follow. Beatrice’s height is 170 cm (5 ft. 6 in.), her weight is 133 kg (293 lb.), and her BMI is 46 kg/m 2 .
At issue is an ethical quandary: Is it really OK to replace the joints of patients who are severely obese? And who should make that decision?
Losing weight, or keeping your weight at a healthy level, can help improve hip and knee pain symptoms, as well as help prevent or delay a hip or knee replacement. How do weight, obesity, and BMI affect hip or knee replacement surgery?
Knee replacements can reduce pain and improve function, regardless of people’s weight. Research found that few people in any weight category needed repeat surgery within 10 years. Deaths after surgery were rare in any group.
A new UMass Medical School study finds that obese patients who underwent knee or hip replacement surgery reported virtually the same pain relief and improved function.
WEDNESDAY, March 24, 2021 (HealthDay News) -- Total knee replacement is a cost-effective treatment for extremely obese people with knee osteoarthritis, a new study claims. The painful condition affects more than 14 million U.S. adults, and total knee replacement is often recommended to treat advanced knee osteoarthritis.
But until the findings of a new Mayo Clinic study were presented today at the annual meeting of the American Academy of Orthopedic Surgeons in Las Vegas, no one had reported how this higher, unprecedented level of obesity in the U.S. affects total hip and knee replacements.
Total knee replacement (TKR) comprises a significant, growing aspect in the management of patients with advanced arthritis of the knee for which conservative medical therapy has failed. Obesity, a rising epidemic, is considered an important independent risk factor in the development of osteoarthritis (OA).