Bariatric surgery prior to total joint arthroplasty may not provide dramatic improvements in post-arthroplasty surgical outcomes

Maria C.S. Inacio, Elizabeth W. Paxton, David Fisher, Robert A. Li, Thomas C. Barber, Jasvinder A. Singh

Research output: Contribution to journalArticle

58 Citations (Scopus)

Abstract

This study compared the total joint arthroplasty (TJA) surgical outcomes of patients who had bariatric surgery prior to TJA to TJA patients who were candidates but did not have bariatric surgery. Patients were retrospectively grouped into: Group 1 (n= 69), those with bariatric surgery > 2. years prior to TJA, Group 2 (n= 102), those with surgery within 2. years of TJA, and Group 3 (n= 11,032), those without bariatric surgery. In Group 1, 2.9% (95% CI 0.0-6.9%) had complications within 1. year compared to 5.9% (95% CI 1.3%-10.4%) in Group 2, and 4.1% (95% CI 3.8%-4.5%) in Group 3. Ninety-day readmission (7.2%, 95% CI 1.1%-13.4%) and revision density (3.4/100. years of observation) was highest in Group 1. Bariatric surgery prior to TJA may not provide dramatic improvements in post-operative TJA surgical outcomes.

LanguageEnglish
Pages1359-1364
Number of pages6
JournalJournal of Arthroplasty
Volume29
Issue number7
DOIs
Publication statusPublished - 2014

Keywords

  • Bariatric surgery
  • Complications
  • Joint arthroplasty
  • Obesity
  • Revision
  • Surgical site infection

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

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