Title : Impact of obesity on postoperative complications in patients undergoing Total Knee Arthroplasty (TKA)
Abstract:
Obesity has become a significant global public health issue, increasing the risk of adverse postoperative outcomes. In orthopedic surgery, especially Total Knee Arthroplasty (TKA), a higher Body Mass Index (BMI) may influence complication rates and patient recovery.
This prospective, analytical, and correlational study aimed to assess the relationship between obesity and postoperative complications in patients undergoing TKA at the National Hospital of Orthopedics and Rehabilitation in Guatemala. Patients were categorized by BMI and monitored for complications including surgical site infections, wound dehiscence, thromboembolic events, and prosthesis-related issues.
The results indicated that patients with obesity, particularly those with grade III obesity, had a significantly higher incidence of superficial wound infections and dehiscence. A strong statistical correlation was identified between higher BMI and the occurrence of these complications.
These findings emphasize the importance of preoperative weight assessment and optimization protocols. Implementing multidisciplinary perioperative strategies for patients with obesity may reduce the risk of complications and improve surgical outcomes, ultimately contributing to more efficient and cost-effective orthopedic care.
