Open AccessDefining the Relationship between Obesity and Total Joint Arthroplasty
Author(s) -
Stickles Beverly,
Phillips Leslie,
Brox William Timothy,
Owens Brett,
Lanzer William L.
Publication year - 2001
Publication title -
obesity research
Language(s) - English
Resource type - Journals
eISSN - 1550-8528
pISSN - 1071-7323
DOI - 10.1038/oby.2001.24
Subject(s) - medicine , body mass index , osteoarthritis , arthroplasty , logistic regression , odds ratio , obesity , physical therapy , joint arthroplasty , surgery , alternative medicine , pathology
Objective: The purpose of this study was to examine the relationship between obesity and patient‐administered outcome measures after total joint arthroplasty. Research Methods and Procedures: A voluntary questionnaire‐based registry contained 592 primary total hip arthroplasty patients and 1011 primary total knee arthroplasty patients with preoperative and 1‐year data. Using logistic regression, the relationships between body mass index and the several outcome measures, including Short Form‐36 and Western Ontario and McMaster Universities Osteoarthritis Index, were examined. Results: There was no difference between obese and non‐obese patients regarding satisfaction, decision to repeat surgery, and Δphysical component summary, Δmental component summary, and ΔWestern Ontario and McMaster Universities Osteoarthritis Index scores ( p > 0.05 for all). Body mass index was associated with an increased risk of having difficulty descending or ascending stairs at 1 year (odds ratio, 1.2 to 1.3). Discussion: Obese patients enjoy as much improvement and satisfaction as other patients from total joint arthroplasty.