The relationship between obesity and primary Total Knee Replacement: A scoping review of the literature

Primary Total Knee Replacement (TKR) is one of the most commonly performed elective orthopaedic procedures globally. Many patients undergoing this type surgery are overweight or obese. In UK, clinical commissioning groups have imposed arbitrary Body Mass Index (BMI) thresholds for TKR surgery. obese believe they will lose weight following procedure because increased mobility. This paper aims to present findings a scoping literature review about relationship between obesity and primary make recommendations practice, education policy. A investigated impact BMI/body on need TKR, body BMI patient outcomes loss/gain implications cost TKR. Seventy-one papers were included in review. Seven studies reported statistically significant associations BMI/obesity with Thirty worse compared non-obese comparisons. Forty no difference participants, including some where better than Eight changes before after three reporting higher percentage losing gaining four that gained weight. The 8th study morbidly largely returned their baseline postoperatively. challenge legitimacy setting control access There an urgent develop evidence based approaches support loss management group patients. Obese should receive specific information regarding potential additional risks complications poorer outcomes. health promotion association being overweight/obese young adulthood developing osteoarthritis knee joints requiring middle older age.