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Hip arthroplasty in obese patients: rising prevalence – standard procedures?

Michael Skutek, Nils Wirries, Gabriela von Lewinski
  • Michael Skutek
    Annastift Hospital, Medical School Hannover, Germany | mskutek@gmail.com
  • Nils Wirries
    Annastift Hospital, Medical School Hannover, Germany
  • Gabriela von Lewinski
    Annastift Hospital, Medical School Hannover, Germany

Abstract

We examined our experience and, in particular, complications associated with total hip arthroplasty in obese and morbidly obese patients. We prospectively gathered 50 patients in a matched control series including 25 obese and morbidly obese patients. All patients were operated using the direct lateral approach and standard postoperative protocols. Operating room time, complications, dislocations, blood loss, cup position and clinical parameters using the Harris Hip Score and the Western Ontario and McMaster Universities Arthritis Index results were compared. Although there were some significant differences in clinical outcomes, standard procedures yielded good overall results and an acceptable rate of complications. Details approaching this patient entity are being discussed.

Keywords

Hip replacement; obese; morbidly obese; lateral approach

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Submitted: 2015-12-21 16:25:46
Published: 2016-06-27 14:43:47
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Copyright (c) 2016 Michael Skutek, Nils Wirries, Gabriela von Lewinski

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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
 
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