Navigation Links
Forum Tackles the Rising Costs, Challenges and Diminished Outcomes Associated with Treating Obese Patients for Orthopaedic Conditions

ROSEMONT, Ill., April 10, 2013 /PRNewswire-USNewswire/ -- The obesity epidemic in America and its impact on musculoskeletal health, as well as related treatment outcomes and costs, was discussed during the AAOS Now forum, "Obesity, Orthopaedics and Outcomes," at the 2013 Annual Meeting of the American Academy of Orthopaedic Surgeons (AAOS) at McCormick Place in Chicago. 

"From 1960 to 2000, the rate of obesity more than doubled in the United States," said Frank B. Kelly , MD, AAOS Now editorial board member and forum moderator. "By 2010, more than 72 million of U.S. adults were obese, and no state had an obesity rate of less than 20 percent."  These statistics include children, of whom one in three is considered obese in the United States.

An adult or child with a Body Mass Index (BMI) between 25 and 29.9 is considered overweight. An adult or child with a BMI of 30 or greater is considered obese.

In orthopaedics, evidence is mounting that a high BMI can cause or exacerbate musculoskeletal conditions, such as osteoarthritis, and diminish treatment outcomes.  For example, being overweight increases the risk of wound infection, pulmonary complications, deep vein thrombosis (DVT), pulmonary embolism (PE), myocardial infarction (MI) and other complications following orthopaedic surgery.

Elena Losina , Ph.D., associate professor of orthopaedic surgery at Harvard Medical School and Brigham and Women's Hospital in Boston cited poor nutrition, often due to a high-fat diet, overeating and/or excessive eating out; physical inactivity; psychological problems; lack of willpower and metabolic or endocrine disorders as leading causes of weight gain.

Overall, when combined with inactivity, a high BMI can cut life expectancy by as much as seven years, said Dr. Losina.

The impact of obesity on health care spending also is significant, resulting in $215 billion in increased medical expenditures each year, according to a 2010 report by the Brookings Institution. By 2030, "health care costs attributed to overweight and obesity are predicted to account for 16 to 18 percent of total U.S. healthcare costs," said Dr. Kelly.

Dr. Losina explained that each additional kilogram (kg) of body mass increases the compressive load on the knee by roughly 4 kg. Therefore, even a relatively small loss in weight can have a tremendous impact. For example, a patient who loses 10 pounds in body weight will diminish the load/pressure on their knees by 50 pounds.

A high BMI is associated with more than 60 related medical conditions, including Type 2 diabetes, coronary artery disease and sleep apnea.  A high BMI also affects fasting blood glucose levels, which in turn, are associated with a higher risk of surgical site infections, said William M. Mihalko , MD, Ph.D., professor and JR Hyde Chair at the Campbell Clinic department of orthopaedics and biomedical engineering at the University of Tennessee.  Overweight and obese patients with sleep apnea who receive regional anesthesia before surgery have higher complication rates following orthopaedic surgery.

Kenneth Krackow , MD, professor and vice-chairman of the department of orthopaedics at the University of Buffalo School of Medicine, said that orthopaedic surgeons need to work with overweight patients before total joint replacement surgery to encourage weight loss – even suggesting bariatric surgery – and utilizing the joint replacement as an incentive for healthier habits.

The forum's findings will appear as separate reports in AAOS Now over the next several months:

  • Overview, diagnosis, and impact of co-morbidities, "Obese Patients Present a Weighty Problem" (April)
  • The impact of a high BMI on specialty care, specifically on pediatric orthopaedics and spine surgery (May)
  • Barriers to care and impending discrimination against patients with a high BMI (June)
  • Weight gain in athletes and the impact of a high BMI on trauma and foot and ankle care (July)

Forum Agenda Books with study abstracts are available by request (email
About  AAOS 
About AAOS Now 
Follow us on and

A Nation in Motion
More than one in four Americans have bone or joint health problems, making them the greatest cause of lost work days in the U.S. When orthopaedic surgeons restore mobility and reduce pain, they help people get back to work and to independent, productive lives. Orthopaedic surgeons provide a great value, in both human and economic terms; and access to high-quality orthopaedic care keeps this "Nation in Motion." To learn more, to read hundreds of patient stories or to submit your own story, visit

For more information on bone and joint health, visit
AAOS Position Statement: The Need for Daily Physical Activity 
AAOS Position Statement: Children and Musculoskeletal Health 

SOURCE American Academy of Orthopaedic Surgeons
Copyright©2012 PR Newswire.
All rights reserved

Related medicine technology :

1. Cardium to Present at Sachs Associates 2012 Science, Partner, and Investment Forum: Gateway for the Global Life Sciences
2. Forum Extended Care Services Announces Plans to Move to Larger, State-Of-the-art Facility
3. ADVENTRX Pharmaceuticals To Present At 2012 BIO International Convention Business Forum
4. EffectiveUI Showcases Patient-Centric User Experience at Forrester Forum
5. ADVENTRX Pharmaceuticals To Present At The OneMedForum New York 2012 Emerging Company Finance Conference On July 12
6. The Galien Foundation Announces Roster of Luminary Presenters for Third Galien Forum; Program Highlights Include CEO Panel, Panel on Alzheimers Disease Innovation, Nobel Laureate Elie Wiesel
7. PLC Systems To Present At OneMedForum In New York City
8. San Diego Medical Device Developers - MEDevice Forum San Diego Returns September 19-20
9. Case Studies at the 11th Annual Biological Production Forum 2012
10. Detailed Programmes and Agendas Available for American and International Health Care Forums
11. Ingenuity Systems Named 2013 World Economic Forum Technology Pioneer
Post Your Comments:
(Date:11/30/2015)... -- IBA Molecular North America, Inc. (IBAMNA), a U.S. leader ... as of January 1, 2016, it will do business ... rebrand the company reflects a refined vision for the ... relationship with Zevacor Molecular.  Both IBAMNA and Zevacor Molecular ... Peter Burke , Vice President Sales and ...
(Date:11/30/2015)... -- North America was valued at ... a CAGR of 7.6% from 2015 to 2020. --> ... in 2014, and is expected to grow at a CAGR of ... new Market Research Report "North America Cardiac Output Monitoring Devices Market ... care, others) - Analysis And Forecast To 2020", the cardiac output ...
(Date:11/30/2015)... , Nov. 30, 2015  Kevin Smith ... Sensium Healthcare, a global pioneer in wireless monitoring ... Boston, MA , Mr. Smith will ... Sensium,s global commercial strategy.  He will also directly ... to build clinical evidence for SensiumVitals, the first ...
Breaking Medicine Technology:
(Date:11/30/2015)... Fla. (PRWEB) , ... November 30, 2015 , ... ... opened the driverless vehicle experience this summer, ushering in a new era of ... percent driverless and electric shuttle, will continue to offer guests an up-close look ...
(Date:11/30/2015)... ... 30, 2015 , ... The presidential race normally deals with political issues of ... a national news story when Donald Trump makes disparaging remarks about Hillary Clinton’s hairstyle? ... than anyone wants to admit when it comes to how people are viewed by ...
(Date:11/30/2015)... , ... November 30, 2015 , ... ... continuing education course in Dallas, TX, on January 29 and 30, 2016. The ... improve the functions of their practices, to learn how to better succeed in ...
(Date:11/30/2015)... ... November 30, 2015 , ... ... component of bacteria could be effective in fighting methicillin-resistant Staphylococcus aureus (MRSA), one ... , Their study showed that small molecule analogs that target the functions of ...
(Date:11/30/2015)... ... 30, 2015 , ... Dr. Seth D. Margulies specializes in orthodontics and is ... Margulies to experience the best available orthodontic experience in the area. Dr. Margulies ... , Orthodontics is the branch of dentistry that specializes in the diagnosis, prevention, and ...
Breaking Medicine News(10 mins):