Relationship of body mass index to early complications in knee replacement surgery

Arch Orthop Trauma Surg. 2008 Jan;128(1):5-9. doi: 10.1007/s00402-007-0364-1. Epub 2007 May 24.

Abstract

Background: The purpose of this study was to evaluate the relationship between body mass index and early complications following knee replacement.

Methods: Five hundred and twenty-seven patients who underwent primary knee replacement were recruited. All these patients were subjected to a pre-operative assessment and follow-up at 6 weeks and 1 year following surgery. Any complication occurring during this period was recorded. Complications were grouped into systemic and local, minor and major.

Results: 12.1% (N = 64) patients had an early complication following knee replacement surgery; 9.2% (N = 48) patients had a major complication. Overall BMI did not seem to influence significantly the rate of complication with a P-value of 0.338. A stronger correlation was found between the surgeon and presence of complication with a P-value of 0.004.

Conclusions: BMI has a weak correlation to early complications following joint replacement surgery. The operating surgeon seems to have a stronger correlation to early complications as compared with BMI.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Arthroplasty, Replacement, Knee / adverse effects*
  • Body Mass Index*
  • Comorbidity
  • Female
  • Humans
  • Logistic Models
  • Male
  • Middle Aged
  • Multivariate Analysis
  • Obesity / epidemiology
  • Osteoarthritis, Knee / epidemiology
  • Retrospective Studies