The Effect of Obesity in Shoulder Arthroplasty Outcomes and Complications

Ivan De Martino; Lawrence V Gulotta

doi:10.1016/j.ocl.2018.02.010

The Effect of Obesity in Shoulder Arthroplasty Outcomes and Complications

Orthop Clin North Am. 2018 Jul;49(3):353-360. doi: 10.1016/j.ocl.2018.02.010.

Authors

Ivan De Martino¹, Lawrence V Gulotta²

Affiliations

¹ Sports and Shoulder Service, Hospital for Special Surgery, Weill Cornell Medical College, 535 East 70th Street, New York, NY 10021, USA.
² Sports and Shoulder Service, Hospital for Special Surgery, East River Professional Building, 523 East 72nd Street, 6th Floor, New York, NY 10021, USA. Electronic address: gulottal@hss.edu.

PMID: 29929717
DOI: 10.1016/j.ocl.2018.02.010

Abstract

The effect of obesity in shoulder arthroplasty has been recently reported in the literature with different and conflicting results. This review analyzes the role of obesity on outcomes and complications in shoulder arthroplasty. Morbid obesity (body mass index >40 kg/m²), more than standard obesity, is associated with a longer operative time, higher complication rate, reoperation rate and superficial infection. Obesity does not have a detrimental effect on functional outcomes. The magnitude of functional improvement in obese patients, however, can be inferior to that in nonobese patients. Obesity and morbid obesity do not increase hospital charges.

Keywords: BMI; Complications; Morbid obesity; Obesity; Reverse shoulder arthroplasty; Revision shoulder arthroplasty; Shoulder hemiarthroplasty; Total shoulder arthroplasty.

Publication types

Review

MeSH terms

Arthroplasty, Replacement, Shoulder / adverse effects*
Arthroplasty, Replacement, Shoulder / economics
Health Care Costs
Humans
Joint Diseases / complications
Joint Diseases / surgery*
Obesity / complications*
Postoperative Complications / epidemiology*
Treatment Outcome