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Updated: Apr 14, 2026

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
Published on: September 7, 2022
[Total hip arthroplasty in overweight osteoarthritis patients]
M Stiehler1, J Goronzy, K-P Günther
1UniversitätsCentrum für Orthopädie & Unfallchirurgie, Universitätsklinikum Carl Gustav Carus an der Technischen Universität Dresden, Fetscherstr. 74, 01307, Dresden, Deutschland, maik.stiehler@uniklinikum-dresden.de.
Background:
An increasing number of patients scheduled for total hip arthroplasty (THA) are obese and exhibit a different risk profile from that of patients of normal weight.
Objectives:
To provide an overview of the impact of obesity on the outcome of primary THA.
Materials And Methods:
Literature review and discussion of own epidemiological data.
Results:
Obese patients can expect as much functional improvement as non-obese patients after THA. However, peri- and postoperative complication (e.g., periprosthetic infection and dislocation) rates are reported to be increased in obese THA patients.
Conclusions:
The knowledge of obesity-associated risks is the prerequiste for successful THA in obese patients.

