J Knee Surg 2013; 26(02): 077-082
DOI: 10.1055/s-0033-1341406
Special Focus Section
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Surgical Considerations in Total Knee Replacement for the Obese Patient

Jane Z. Liu
1   Department of Orthopaedic Surgery, Case Western Reserve University School of Medicine, Cleveland, Ohio
2   Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, Ohio
Pratik Desai
2   Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, Ohio
Wael K. Barsoum
2   Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, Ohio
› Author Affiliations
Further Information

Publication History

10 December 2012

07 January 2013

Publication Date:
11 March 2013 (online)


Total knee replacement (TKR) is one of the most commonly performed and successful orthopedic surgeries in the modern era. The rising prevalence of obesity has contributed to the need for TKR, but the anatomy of obese patients presents unique challenges during surgery. In this article, we will focus on surgical techniques and tools to maximize the success of TKR in this patient population. We will also cover the relationship between obesity and the development of knee osteoarthritis, postoperative care, and prosthetic outcomes.

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