The risk of surgical site infection and readmission in obese patients undergoing total joint replacement who lose weight before surgery and keep it off post-operatively

M. C.S. Inacio, D. Kritz-Silverstein, R. Raman, C. A. Macera, J. F. Nichols, R. A. Shaffer, D. C. Fithian

Research output: Contribution to journalArticlepeer-review

30 Citations (Scopus)

Abstract

This study evaluated whether obese patients who lost weight before their total joint replacement and kept it off post-operatively were at lower risk of surgical site infection (SSI) and re-admission compared with those who remained the same weight. We reviewed 444 patients who underwent a total hip replacement and 937 with a total knee replacement who lost weight pre-operatively and sustained their weight loss after surgery. After adjustments, patients who lost weight before a total hip replacement and kept it off post-operatively had a 3.77 (95% confidence interval (CI) 1.59 to 8.95) greater likelihood of deep SSIs and those who lost weight before a total knee replacement had a 1.63 (95% CI 1.16 to 2.28) greater likelihood of re-admission compared with the reference group. These findings raise questions about the safety of weight management before total replacement of the hip and knee joints.

Original languageEnglish
Pages (from-to)629-635
Number of pages7
JournalBone and Joint Journal
Volume96 B
Issue number5
DOIs
Publication statusPublished or Issued - 2014
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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