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Related Concept Videos

Obesity01:24

Obesity

649
The Body Mass Index (BMI) is a numerical value derived from a person's weight and height, used to categorize individuals into weight ranges. It is calculated using the formula: weight in kilograms divided by height in meters squared. Obesity is a health condition characterized by excessive accumulation of adipose tissue that poses health risks, often diagnosed with a BMI ≥ 30. This excess fat storage occurs when surplus dietary calories are converted into triglycerides and stored in...
649

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Related Experiment Video

Updated: Sep 24, 2025

Reverse Total Shoulder Arthroplasty
10:10

Reverse Total Shoulder Arthroplasty

Published on: July 5, 2011

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Obesity and Reverse Total Shoulder Arthroplasty.

Emily J Monroe1, Richard Hardy2, James Holmquist2

  • 1Heartland Orthopedic Specialists, 111 17th Ave E, Ste 101, Alexandria, MN, 56308, USA. emonroe@heartlandorthopedics.com.

Current Reviews in Musculoskeletal Medicine
|May 5, 2022
PubMed
Summary

Obesity is rising alongside reverse total shoulder arthroplasty (rTSA). While obese patients may face higher risks for infection and revision, functional outcomes and satisfaction after rTSA are comparable to normal-weight individuals.

Keywords:
ObesityReverse total shoulder arthroplastyRotator cuff

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Area of Science:

  • Orthopedic Surgery
  • Obesity Medicine
  • Biomedical Engineering

Background:

  • Rising rates of obesity and reverse total shoulder arthroplasty (rTSA) in the USA.
  • Obesity is linked to higher arthritis prevalence and comorbidities, potentially impacting surgical outcomes.
  • Previous studies suggest increased complications in lower extremity arthroplasty for obese patients.

Purpose of the Study:

  • To review comorbidities associated with obesity in patients undergoing rTSA.
  • To evaluate the impact of obesity on outcomes and complication rates following rTSA.
  • To inform preoperative planning and patient counseling for obese individuals seeking rTSA.

Main Methods:

  • Literature review of studies comparing obese and normal-weight patients undergoing rTSA.
  • Analysis of functional outcomes, complication rates (infection, revision, medical), and patient satisfaction.
  • Consideration of technical factors and patient-specific risks in the obese demographic.

Main Results:

  • Functional outcomes and patient satisfaction are generally similar between obese and normal-weight rTSA patients.
  • While some studies indicate higher risks of infection, revision, and medical complications in obese patients, this is not consistently demonstrated.
  • Superobese patients also show reliable improvements in outcomes, comparable to normal-weight counterparts.
  • rTSA does not appear to carry the same adverse risk profile as lower joint arthroplasty in obese populations, though risks warrant consideration.

Conclusions:

  • Reverse total shoulder arthroplasty (rTSA) offers comparable functional outcomes and satisfaction for obese patients versus normal-weight individuals.
  • While certain complications may be slightly elevated in obese patients, the risks are generally lower than those seen with lower extremity arthroplasty.
  • Careful preoperative planning, patient counseling, and attention to surgical technique are crucial for optimizing outcomes and minimizing risks in obese patients undergoing rTSA.