Should elective knee replacement be delayed for 5% weight loss in obese knee osteoarthritis? скачать в хорошем качестве

Should elective knee replacement be delayed for 5% weight loss in obese knee osteoarthritis?

This discussion addresses adults with knee osteoarthritis and coexisting obesity who are being considered for elective knee replacement. The central clinical decision is whether to delay surgery to pursue preoperative weight loss or proceed directly to arthroplasty. The challenge lies in balancing the potential reduction in postoperative complications associated with weight loss against the risk of worsening pain and functional decline from delaying surgery. A structured framework is outlined: aim for at least 5% body weight reduction within one year when feasible, consider bariatric surgery for patients with BMI ≥40, and avoid delaying urgent cases or those unable to safely achieve weight loss. The approach emphasizes individualized risk assessment, surgical timing, and symptom burden rather than rigid thresholds. #Orthopedics #Osteoarthritis #Arthroplasty #Obesity #PerioperativeCare