Intra-Operative and Post-Operative Impact of Body Weight on Total Hip Arthroplasty: Are We Approaching It Correctly?
Background: To this date, the impact of body weight on total hip arthroplasty is still debated. The literature lacks evidence on the impact of body weight on surgical times and complications. Methods: We retrospectively evaluated all the patients who underwent primary total hip arthroplasty (THA), c...
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| Format: | Article |
| Language: | English |
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Karolinum Press
2025-06-01
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| Series: | Acta Medica |
| Online Access: | https://actamedica.lfhk.cuni.cz/68/1/0026/ |
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| author | Edoardo Ipponi Sara Barderi Elena Bechini Belinda Misso Luca Orsetti Lorenzo Andreani Nicola Piolanti Enrico Bonicoli Paolo Domenico Parchi |
| author_facet | Edoardo Ipponi Sara Barderi Elena Bechini Belinda Misso Luca Orsetti Lorenzo Andreani Nicola Piolanti Enrico Bonicoli Paolo Domenico Parchi |
| author_sort | Edoardo Ipponi |
| collection | DOAJ |
| description | Background: To this date, the impact of body weight on total hip arthroplasty is still debated. The literature lacks evidence on the impact of body weight on surgical times and complications. Methods: We retrospectively evaluated all the patients who underwent primary total hip arthroplasty (THA), collecting patients’ pre-operative BMI before surgery. We recorded the surgical approach performed (anterior or posterolateral), and their duration. All the major complications were recorded. Results: Seven-hundred-thirty-two cases were included (627 posterolateral and 105 anterior approach). The mean BMI was 27.3. The mean surgical time was 90.8 minutes (104.9 for anterior and 88.5 for posterolateral approach). We found a significant positive relationship between BMI and surgical times for both cases treated with a posterolateral approach, and (even more remarked) in case anterior approach. Thirty-nine cases (5.3%) had major complications; 27 of them (69.2%) were overweight or obese. The surgical times of those who had complications were significantly higher compared to others. Conclusions: Patients’ body weight, and in particular their Body Mass index, has a direct impact on the duration of THA surgical procedures, particularly if performed using an anterior approach, and an indirect effect on complication rates. |
| format | Article |
| id | doaj-art-7f364f8ffe7a4ff09dc3fb76e5eefe14 |
| institution | DOAJ |
| issn | 1211-4286 1805-9694 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Karolinum Press |
| record_format | Article |
| series | Acta Medica |
| spelling | doaj-art-7f364f8ffe7a4ff09dc3fb76e5eefe142025-08-20T02:39:59ZengKarolinum PressActa Medica1211-42861805-96942025-06-01681263010.14712/18059694.2025.15Intra-Operative and Post-Operative Impact of Body Weight on Total Hip Arthroplasty: Are We Approaching It Correctly?Edoardo Ipponihttps://orcid.org/0000-0003-2107-6357Sara BarderiElena Bechinihttps://orcid.org/0009-0004-9276-4362Belinda MissoLuca OrsettiLorenzo Andreanihttps://orcid.org/0000-0002-8268-6987Nicola Piolantihttps://orcid.org/0000-0001-5157-6024Enrico Bonicolihttps://orcid.org/0000-0003-1497-8117Paolo Domenico Parchihttps://orcid.org/0000-0001-7560-7104Background: To this date, the impact of body weight on total hip arthroplasty is still debated. The literature lacks evidence on the impact of body weight on surgical times and complications. Methods: We retrospectively evaluated all the patients who underwent primary total hip arthroplasty (THA), collecting patients’ pre-operative BMI before surgery. We recorded the surgical approach performed (anterior or posterolateral), and their duration. All the major complications were recorded. Results: Seven-hundred-thirty-two cases were included (627 posterolateral and 105 anterior approach). The mean BMI was 27.3. The mean surgical time was 90.8 minutes (104.9 for anterior and 88.5 for posterolateral approach). We found a significant positive relationship between BMI and surgical times for both cases treated with a posterolateral approach, and (even more remarked) in case anterior approach. Thirty-nine cases (5.3%) had major complications; 27 of them (69.2%) were overweight or obese. The surgical times of those who had complications were significantly higher compared to others. Conclusions: Patients’ body weight, and in particular their Body Mass index, has a direct impact on the duration of THA surgical procedures, particularly if performed using an anterior approach, and an indirect effect on complication rates.https://actamedica.lfhk.cuni.cz/68/1/0026/ |
| spellingShingle | Edoardo Ipponi Sara Barderi Elena Bechini Belinda Misso Luca Orsetti Lorenzo Andreani Nicola Piolanti Enrico Bonicoli Paolo Domenico Parchi Intra-Operative and Post-Operative Impact of Body Weight on Total Hip Arthroplasty: Are We Approaching It Correctly? Acta Medica |
| title | Intra-Operative and Post-Operative Impact of Body Weight on Total Hip Arthroplasty: Are We Approaching It Correctly? |
| title_full | Intra-Operative and Post-Operative Impact of Body Weight on Total Hip Arthroplasty: Are We Approaching It Correctly? |
| title_fullStr | Intra-Operative and Post-Operative Impact of Body Weight on Total Hip Arthroplasty: Are We Approaching It Correctly? |
| title_full_unstemmed | Intra-Operative and Post-Operative Impact of Body Weight on Total Hip Arthroplasty: Are We Approaching It Correctly? |
| title_short | Intra-Operative and Post-Operative Impact of Body Weight on Total Hip Arthroplasty: Are We Approaching It Correctly? |
| title_sort | intra operative and post operative impact of body weight on total hip arthroplasty are we approaching it correctly |
| url | https://actamedica.lfhk.cuni.cz/68/1/0026/ |
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