Research Article

Predictors for Unfavorable Early Outcomes in Elective Total Hip Arthroplasty: Does Extreme Body Mass Index Matter?

Table 1

Demographics, preoperative comorbidity, and operative variables in different BMI groups.

BMI<18.518.5–24.9925–29.9930–34.99>35 value

Number of patients5669760915845

Mean BMI (SD), kg/m217.35 (1.28)22.57 (1.66)27.21 (1.41)31.95 (1.29)37.60 (2.94)<0.001a

Mean age (SD, range), y47.0 (16.8, 22–83)54.6 (14.6, 16–91)57.5 (13.2, 15–87)56.0 (14.0, 21–87)57.2 (12.2, 26–77)<0.001a

Sex, n (%)<0.001a
 Male23 (41.1)289 (41.5)327 (53.7)80 (50.6)16 (35.6)
 Female33 (58.9)408 (58.5)282 (46.3)78 (49.4)29 (64.4)

Pathology, n (%)
 OA3 (5.4)110 (15.8)135 (22.2)24 (15.2)7 (15.6)
 Osteonecrosis35 (62.5)317 (45.5)215 (35.3)66 (41.8)11 (24.5)
 Inflammatory11 (19.6)34 (4.9)32 (5.3)6 (3.8)2 (4.4)
 Dysplasia7 (12.5)212 (30.4)192 (31.5)57 (36.1)24 (53.3)
 Perthes disease010 (1.4)13 (2.1)2 (1.3)0
 FAI09 (1.3)17 (2.8)3 (1.8)1 (2.2)
 OA hip secondary to childhood septic hip05 (0.7)5 (0.8)00

Fixation, n (%)0.58
 Cemented01 (0.1)000
 Hybrid08 (1.2)2 (0.3)1 (0.6)0
 Cementless56 (100)688 (98.7)607 (99.7)157 (99.4)45 (100)

ASA score
 1-245 (80.4)536 (77)498 (81.8)119 (75.3)31 (68.9)0.07
 3-411 (19.6)161 (23)111 (18.2)39 (24.7)14 (31.1)

Comorbidity, n (%)
 Cardiovascular comorbidities11 (19.6)252 (36.2)306 (50.2)103 (65.2)33 (73.3)<0.001a
 Respiratory comorbidities10 (17.9)104 (14.9)82 (13.5)26 (16.5)9 (20.0)0.629
 Diabetes3 (5.4)71 (10.2)91 (14.9)37 (23.4)17 (37.8)<0.001a

OA, osteoarthritis; FAI, femoroacetabular impingement; SD, standard deviation. aStatistically significant difference ().