Bariatric Surgery Prior to Total Joint Arthroplasty May Not Provide Dramatic Improvements in Post-Arthroplasty Surgical Outcomes

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 >...

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Bibliographic Details
Published in:The Journal of arthroplasty 2014-07, Vol.29 (7), p.1359-1364
Main Authors: Inacio, Maria C.S., PhD, Paxton, Elizabeth W., MA, Fisher, David, MD, Li, Robert A., MD, Barber, Thomas C., MD, Singh, Jasvinder A., MD, MPH
Format: Article
Language:English
Subjects:
Aged
Arthroplasty, Replacement, Hip
Arthroplasty, Replacement, Knee
Bariatric Surgery
complications
Female
Humans
joint arthroplasty
Male
Middle Aged
obesity
Obesity - complications
Obesity - surgery
Orthopedics
Osteoarthritis - complications
Osteoarthritis - surgery
Postoperative Period
Retrospective Studies
revision
surgical site infection
Surgical Wound Infection
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Summary: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.
ISSN:0883-5403
1532-8406
DOI:10.1016/j.arth.2014.02.021