Abstract
* The number of total joint arthroplasty (TJA) procedures done in patients with obesity is increasing in the United States.* Compared with patients without obesity who undergo TJA, patients with obesity are at increased risk for numerous complications including periprosthetic joint infection and revision TJA.* Weight reduction prior to TJA in patients with obesity may mitigate these severe complications and the associated costs.* A multidisciplinary approach is most effective in order to achieve durable long-term weight loss.* Numerous therapies including behavioral, pharmaceutical, and surgical options exist but must be tailored to the individual patient.
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