June 16, 2026 · The Journal of bone and joint surgery. American volume · DOI: 10.2106/JBJS.25.01658

The Effect of Bariatric Surgery on Complication Risk Following Total Hip Arthroplasty in Patients with Morbid Obesity

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This study aimed to evaluate the impact of prior bariatric surgery on the risk of surgical complications following total hip arthroplasty (THA) in patients with morbid obesity. The findings revealed that patients who had undergone bariatric surgery experienced a higher risk of major complications, particularly periprosthetic joint infections, and did not benefit from reduced revision risk or lower readmission rates. Consequently, the authors suggest that delaying THA for bariatric surgery may not be justified, highlighting the need for alternative obesity management strategies.

Johnathan R Lex, Seper Ekhtiari, Bahar Entezari, Robert Koucheki, Alexander S McLawhorn, Daniel Pincus, Bheeshma Ravi

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