The Influence of Obesity on Total Elbow Arthroplasty

Mark E Morrey; Mario Hevesi

doi:10.1016/j.ocl.2018.02.009

The Influence of Obesity on Total Elbow Arthroplasty

Orthop Clin North Am. 2018 Jul;49(3):361-370. doi: 10.1016/j.ocl.2018.02.009. Epub 2018 May 8.

Authors

Mark E Morrey¹, Mario Hevesi²

Affiliations

¹ Department of Orthopaedic Surgery, Mayo Clinic, Gonda 14, 200 First Street Southwest, Rochester, MN 55905, USA. Electronic address: morrey.mark@mayo.edu.
² Department of Orthopaedic Surgery, Mayo Clinic, Gonda 14, 200 First Street Southwest, Rochester, MN 55905, USA.

PMID: 29929718
DOI: 10.1016/j.ocl.2018.02.009

Abstract

Total elbow arthroplasty (TEA) has undergone a significant evolution in indications and outcomes in the past decade. Although rheumatoid patients once had the overwhelming number of TEAs, now TEAs for the sequelae of trauma predominate. Furthermore, as obesity has mirrored the increase in the posttraumatic population, TEA complications have increased whereas the durability of implants under these loads has decreased. Solutions are urgently needed to address the complications and revision burden related to posttraumatic deformity and obesity.

Keywords: BMI; Obesity; TEA complications; TEA survivorship; Total elbow arthroplasty; WHO class III obesity.

Publication types

Review

MeSH terms

Arthroplasty, Replacement, Elbow / adverse effects*
Elbow Prosthesis
Humans
Joint Diseases / complications
Joint Diseases / surgery*
Obesity / complications*
Postoperative Complications / epidemiology*
Prosthesis Failure
Treatment Outcome