title: A review of important medical and surgical considerations for obese patients undergoing arthroscopic surgery.
abstract: Obesity represents a unique challenge in orthopaedic surgery, the impact of which is seen through all phases of injury: in the development of disease, during the operative procedure, and throughout the rehabilitation period. Given the high prevalence of obesity in the United States and around the world, this patient population represents a substantial proportion of patients in need of orthopedic care. The effects of this disease constrain both medical and financial resources. For obese patients undergoing orthopedic procedures, adequate steps must be taken to minimize the risks that occur before, during, and after surgical intervention. This literature review discusses the impact of obesity on arthroscopic procedures, with a focus on procedures involving the shoulder, hip, and knee. The management of obese patients during the perioperative period should address the specific concerns relating to these patients. Obesity is a risk factor for numerous comorbidities, is associated with surgical complications, and is a predictor of poor functional outcomes following arthroscopy. Efforts to minimize the negative impact of obesity on arthroscopic procedures are crucial.
authors: a Department of Orthopaedic Surgery , Drexel University College of Medicine , Philadelphia , PA , USA.
authors: John
authors: J
authors: Prodromo
authors: b Drexel University College of Medicine , Philadelphia , PA , USA.
authors: Justin
authors: J
authors: Rackley
authors: c Department of Orthopaedic Surgery , Hahnemann University Hospital/Drexel University College of Medicine , Philadelphia , PA , USA.
authors: Mary K
authors: MK
authors: Mulcahey
mesh_terms: D058109:Airway Management; D001182:Arthroscopy; D006801:Humans; D007430:Intraoperative Care; D009765:Obesity / Q000150:complications*; D017060:Patient Satisfaction; D011183:Postoperative Complications / Q000209:etiology / Q000517:prevention & control; D011300:Preoperative Care; D012307:Risk Factors; D013927:Thrombosis / Q000209:etiology / Q000517:prevention & control; D014945:Wound Healing; D014947:Wounds and Injuries / Q000209:etiology / Q000601:surgery*
keywords: BMI; Obesity; arthroscopy; functional outcomes; perioperative management