Recommendations of an international Delphi study group for total knee arthroplasty in obese patients - Takeaways - MDSpire

Recommendations of an international Delphi study group for total knee arthroplasty in obese patients

  • By

  • Ashok Rajgopal

  • Dhanasekara Raja Palanisami

  • Adarsh Annapareddy

  • Moin Khan

  • Raju Easwaran

  • Ashok Shyam

  • Sahil Sanghavi

  • Parag Sancheti

  • March 9, 2026

  • 0 min

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  • 1

    Obesity significantly increases the risk of complications in patients undergoing total knee arthroplasty (TKA), especially with a BMI of 40 and above.

  • 2

    A diverse panel of 51 experienced orthopedic surgeons participated in a Delphi study to establish consensus guidelines for managing obese TKA patients.

  • 3

    The study aimed to define BMI cut-offs, optimize pre-operative management, and establish intra-operative and post-operative protocols for obese patients.

  • 4

    Consensus was achieved on 9 out of 28 questions, providing valuable insights into the surgical management of obese patients undergoing TKA.

  • 5

    The findings highlight the need for tailored clinical pathways to improve outcomes and reduce complications in obese patients undergoing TKA.

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