Hip arthroplasty in morbidly obese patients - intra-operative and short term outcomes.
Morbidly obese patients experienced significantly longer operation times (66 minutes) and longer wounds (14.2 cm) compared to normal THA patients (58 minutes and 12.1 cm respectively). However, intra-operative anaesthetic time and length of hospital stay were not significantly different between the MO and normal patients. Improvements in patient outcomes following THA were not significantly different between the MO and normal patients at one year follow-up. Improvements in sagittal range of motion and external rotation were significantly less for MO patients. Intraoperative complication rates were 0% for the MO and 3.5% for the normal patients. Postoperative complication rates were 3.5% for the MO and 0% for the normal patients. THA operation times for MO patients were on average only 8 minutes longer and should not represent a barrier to surgery. Hospital length of stay was not longer for MO patients suggesting they do not represent a greater burden on healthcare resources during THA.
Outcome Assessment Unit, Musgrave Park Hospital, Stockmans Lane, Belfast, BT9 7JB, Northern Ireland, UK. damien.bennett.mph@hotmail.com
Damien
D
Bennett
Dessie
D
Gibson
Seamus
S
O'Brien
David E
DE
Beverland
D000328:Adult; D000368:Aged; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects; D005260:Female; D006801:Humans; D007431:Intraoperative Complications / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid; D011183:Postoperative Complications / Q000453:epidemiology; D012189:Retrospective Studies; D013997:Time Factors; D016896:Treatment Outcome