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The Super Obese Knee

  • Alfred J. TriaEmail author
  • Paraskevi (Vivian) Papas
  • Fred D. Cushner
  • Jason Wong
  • Jeffrey A. GellerEmail author
Chapter

Abstract

Obesity has become a major problem for the treatment of arthritis of the knee. The patients have multiple comorbidities that contribute to the perioperative increase in complications, and the surgical exposure, itself, is far more difficult than the normal size knee joint. The preoperative evaluation must be thorough to expose any and all associated medical problems, and the patient should be optimized as thoroughly as possible. The surgical procedure demands proper exposure, and the choice of the implant may need to be modified to protect the prosthetic device from subsequent loosening.

Keywords

Obesity Constrained total knees Infection Revision knee replacement Intramedullary stems Wedges 

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Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Orthopedic Center of New JerseySomersetUSA
  2. 2.Clinical Research, Department of Orthopedic SurgeryLenox Hill HospitalNew YorkUSA
  3. 3.Northwell Health Orthopedic InstituteNew YorkUSA
  4. 4.Department of Orthopedic SurgeryColumbia University Medical CenterNew YorkUSA
  5. 5.Division of Hip and Knee Surgery, Department of Orthopedic SurgeryCenter for Hip and Knee Replacement, Columbia University Medical CenterNew YorkUSA

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