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Corresponding Author

Mahmoud Sabry Fathallah Ahmed

Document Type

Original Article

Abstract

Background: Total hip arthroplasty (THA) has been proven to be an effective therapy for severe hip OA. It is also used to improve mobility and lessen discomfort in the elderly. Due to its demonstrated efficacy in improving patient quality of life, THA demand has risen over time.

Aim and objectives: To analyze the pre-, intra-, and postoperative clinical and radiological results and complications of THA in morbidly obese individuals.

Subjects and methods: 899 items could have been relevant to the initial search; however, after screening the titles and abstracts, 883 were found unsuitable. The remaining 16 papers were also analyzed. Sixteen studies were included: 14 were retrospective, and two were prospective.

Results: The mean KSS score pre-treatment was 52.5 and improved to 86.5 post-treatment; the preoperative range of the flexion arc was 84 and changed to 109 postoperatively; the mean preoperative Harris Hip score was 41.1 and improved to 78.9 postoperatively. The total number of complications was 311 in the form of wound necrosis in 18 cases, UTI in 2 cases, AKI in 2 cases, periprosthetic joint infection in 7 cases, paresthesia in 8 cases, and GT avulsion in 2 cases.

Conclusion: According to the literature, morbidly obese people experience a higher revision rate after primary THA than non-obese cases. Participants with a high BMI benefit from the same level of pain relief and enhancement in quality of life from this medication as those with a normal BMI.

Keywords

Total Hip Arthroplasty, Obese Patients, Osteoarthritis

Subject Area

Orthopedics

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