Bariatric surgery prior to total joint arthroplasty may not provide dramatic improvements in post-arthroplasty surgical outcomes

Maria C.S. Inacio, Elizabeth W. Paxton, David Fisher, Robert A. Li, Thomas C. Barber, Jasvinder A. Singh

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80 Citations (Scopus)


This study compared the total joint arthroplasty (TJA) surgical outcomes of patients who had bariatric surgery prior to TJA to TJA patients who were candidates but did not have bariatric surgery. Patients were retrospectively grouped into: Group 1 (n= 69), those with bariatric surgery > 2. years prior to TJA, Group 2 (n= 102), those with surgery within 2. years of TJA, and Group 3 (n= 11,032), those without bariatric surgery. In Group 1, 2.9% (95% CI 0.0-6.9%) had complications within 1. year compared to 5.9% (95% CI 1.3%-10.4%) in Group 2, and 4.1% (95% CI 3.8%-4.5%) in Group 3. Ninety-day readmission (7.2%, 95% CI 1.1%-13.4%) and revision density (3.4/100. years of observation) was highest in Group 1. Bariatric surgery prior to TJA may not provide dramatic improvements in post-operative TJA surgical outcomes.

Original languageEnglish
Pages (from-to)1359-1364
JournalJournal of Arthroplasty
Issue number7
Publication statusPublished or Issued - 2014


  • Bariatric surgery
  • Complications
  • Joint arthroplasty
  • Obesity
  • Revision
  • Surgical site infection

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

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