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Nutritional markers differ in arthroplasty risk

  • By

  • Andrea Surnit

  • November 4, 2026

  • 4 min

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  • 1

    A systematic review of 58 studies involving 2,076,289 patients found that nutritional disorders were associated with adverse outcomes after hip and knee arthroplasty.

  • 2

    Frailty was associated with higher mortality, more postoperative complications and infections, and longer hospital stays across arthroplasty populations.

  • 3

    ESPEN-defined malnutrition was associated with increased mortality, postoperative pain, and longer hospital stays.

  • 4

    Sarcopenia was associated with adverse outcomes, including prosthetic joint infection and poorer functional outcomes.

  • 5

    Associations varied by nutritional measure, and study heterogeneity and risk of bias prevented meta-analysis.

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