Sleeve gastrectomy prior to primary total hip and total knee arthroplasty is associated with increased risk of early complications

We found a higher rate of complications at 90 days in patients who underwent sleeve gastrectomy prior to primary hip or knee arthroplasty relative to a matched, obese control population. Prosthetic revision rates were similar between the two groups, while improvements in PROMIS depression scores were larger in the obese cohort. This study suggests that sleeve gastrectomy to achieve preoperative weight loss prior to arthroplasty surgery may not mitigate early complication risks in obese patient populations.

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Publication Details

Journal
The Bone & Joint Journal
Published
2024-09-01
DOI
https://doi.org/10.1302/0301-620x.106b9.bjj-2023-1369.r1
Citations
5
Primary Topic
Total Knee Arthroplasty Outcomes
Type
article
Field-Weighted Citation Impact
2.86
Controls
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article

Sleeve gastrectomy prior to primary total hip and total knee arthroplasty is associated with increased risk of early complications

Benjamin F. Ricciardi, Nikhil Ailaney, Rishi Balkissoon, Caroline P. Thirukumaran et al.
5 citations
The Bone & Joint Journal
Total Knee Arthroplasty Outcomes
2.86
article

Sleeve gastrectomy prior to primary total hip and total knee arthroplasty is associated with increased risk of early complications

Benjamin F. Ricciardi, Nikhil Ailaney, Rishi Balkissoon, Caroline P. Thirukumaran, Paul Guirguis, John G. Ginnetti, Gabriel Ramirez, Thomas G. Myers
article en
5 citations

Abstract

We found a higher rate of complications at 90 days in patients who underwent sleeve gastrectomy prior to primary hip or knee arthroplasty relative to a matched, obese control population. Prosthetic revision rates were similar between the two groups, while improvements in PROMIS depression scores were larger in the obese cohort. This study suggests that sleeve gastrectomy to achieve preoperative weight loss prior to arthroplasty surgery may not mitigate early complication risks in obese patient populations.

The Bone & Joint JournalVol. 106-B(9)
University of Rochester Medical Center (US)
Openalex Percentile: Top 9%
Total Knee Arthroplasty Outcomes
2.86
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