{"doi":"10.1302/0301-620x.97b1.34014","title":"Obesity is a major risk factor for the development of complications after peri-acetabular osteotomy","abstract":"<jats:p>Obesity is a risk factor for complications following many orthopaedic procedures. The purpose of this study was to investigate whether obesity was an independent risk factor increasing the rate of complications following periacetabular osteotomy (PAO) and to determine whether radiographic correction after PAO was affected by obesity.</jats:p><jats:p>We retrospectively collected demographic, clinical and radiographic data on 280 patients (231 women; 82.5% and 49 men; 17.5%) who were followed for a mean of 48 months (12 to 60) after PAO. A total of 65 patients (23.2%) were obese (body mass index (BMI) &gt; 30 kg/m<jats:sup>2</jats:sup>). Univariate and multivariate analysis demonstrated that BMI was an independent risk factor associated with the severity of the complications. The average probability of a patient developing a major complication was 22% (95% confidence interval (CI) 11.78 to 38.21) for an obese patient compared with 3% (95% CI 1.39 to 6.58) for a non-obese patient The odds of a patient developing a major complication were 11 times higher (95% CI 4.71 to 17.60, p &lt;  0.0001) for an obese compared with a non-obese patient.</jats:p><jats:p>Following PAO surgery, there was no difference in radiographic correction between obese and non-obese patients. PAO procedures in obese patients correct the deformity effectively but are associated with an increased rate of complications.</jats:p><jats:p>Cite this article: Bone Joint J 2015;97-B:29–34.</jats:p>","journal":"The Bone &amp; Joint Journal","year":2015,"id":610668,"datarank":0.5897738449086489,"base_score":3.9318256327243257,"endowment":3.9318256327243257,"self_citation_contribution":0.5897738449086489,"citation_network_contribution":0.0,"self_endowment_contribution":0.5897738449086489,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":50,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":2,"is_dataset":false,"is_dataset_confidence":null,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":null,"fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1570132,"name":"G. D. Potter","orcid":null,"position":1,"is_corresponding":false},{"id":1570133,"name":"J. C. Clohisy","orcid":null,"position":2,"is_corresponding":false},{"id":1570134,"name":"M. B. Millis","orcid":null,"position":3,"is_corresponding":false},{"id":73559,"name":"Y. J. Kim","orcid":null,"position":4,"is_corresponding":false},{"id":1570135,"name":"R. T. Trousdale","orcid":null,"position":5,"is_corresponding":false},{"id":1570136,"name":"P. M. Carry","orcid":null,"position":6,"is_corresponding":false},{"id":1570137,"name":"R. J. Sierra","orcid":null,"position":7,"is_corresponding":false},{"id":1570131,"name":"E. N. Novais","orcid":null,"position":0,"is_corresponding":false}],"reference_count":0,"raw_metadata":{"has_enrichment":true,"resolved":true,"title":"Obesity is a major risk factor for the development of complications after peri-acetabular osteotomy","abstract":"<jats:p>Obesity is a risk factor for complications following many orthopaedic procedures. The purpose of this study was to investigate whether obesity was an independent risk factor increasing the rate of complications following periacetabular osteotomy (PAO) and to determine whether radiographic correction after PAO was affected by obesity.</jats:p><jats:p>We retrospectively collected demographic, clinical and radiographic data on 280 patients (231 women; 82.5% and 49 men; 17.5%) who were followed for a mean of 48 months (12 to 60) after PAO. A total of 65 patients (23.2%) were obese (body mass index (BMI) &gt; 30 kg/m<jats:sup>2</jats:sup>). Univariate and multivariate analysis demonstrated that BMI was an independent risk factor associated with the severity of the complications. The average probability of a patient developing a major complication was 22% (95% confidence interval (CI) 11.78 to 38.21) for an obese patient compared with 3% (95% CI 1.39 to 6.58) for a non-obese patient The odds of a patient developing a major complication were 11 times higher (95% CI 4.71 to 17.60, p &lt;  0.0001) for an obese compared with a non-obese patient.</jats:p><jats:p>Following PAO surgery, there was no difference in radiographic correction between obese and non-obese patients. PAO procedures in obese patients correct the deformity effectively but are associated with an increased rate of complications.</jats:p><jats:p>Cite this article: Bone Joint J 2015;97-B:29–34.</jats:p>","is_dataset_classified":null,"base_score":3.9318256327243257,"endowment":3.9318256327243257,"datacite_reuse_total":2,"file_count":0,"downloads":0,"views":0,"has_version_chain":false,"is_dataset":false,"is_oa":false,"pmid":"25568410","pmcid":null,"openalex_id":"https://openalex.org/W4230116785","authors":[],"funders":[],"total_grants":0,"fwci":3.783,"citation_percentile":0.935375,"influential_citations":0,"citation_trend":[{"year":2015,"count":2},{"year":2016,"count":5},{"year":2017,"count":3},{"year":2018,"count":3},{"year":2019,"count":2},{"year":2020,"count":3},{"year":2021,"count":4},{"year":2022,"count":7},{"year":2023,"count":6},{"year":2024,"count":7},{"year":2025,"count":7},{"year":2026,"count":1}],"oa_status":"closed","license":"https://online.boneandjoint.org.uk/TDM","oa_locations":[{"url":"https://online.boneandjoint.org.uk/doi/pdf/10.1302/0301-620X.97B1.34014","host_type":"publisher"},{"url":"https://online.boneandjoint.org.uk/doi/full-xml/10.1302/0301-620X.97B1.34014","host_type":"publisher"},{"url":"https://doi.org/10.1302/0301-620x.97b1.34014","host_type":"journal"}],"fields_of_study":["Hip disorders and treatments","Orthopaedic implants and arthroplasty","Total Knee Arthroplasty Outcomes","Acetabulum","Adult","Age Distribution","Body Mass Index","Chi-Square Distribution","Cohort Studies","Female","Follow-Up Studies","Humans","Incidence","Logistic Models","Male","Middle Aged","Multivariate Analysis","Obesity","Osteotomy","Postoperative Complications","Radiography","Retrospective Studies","Risk Assessment","Severity of Illness Index","Sex Distribution","Time Factors","Young Adult"],"mesh_terms":["Acetabulum","Humans","Obesity","Postoperative Complications","Radiography","Body Mass Index","Osteotomy","Severity of Illness Index","Incidence","Multivariate Analysis","Logistic Models","Risk Assessment","Chi-Square Distribution","Retrospective Studies","Cohort Studies","Follow-Up Studies","Age Distribution","Sex Distribution","Time Factors","Adult","Middle Aged","Female","Male","Young Adult"],"keywords":["Medicine","Body mass index","Risk factor","Odds ratio","Obesity","Complication","Univariate analysis","Surgery","Confidence interval","Osteotomy","Radiography","Deformity","Internal medicine","Multivariate analysis","BMI","Complications","Periacetabular Osteotomy"],"sdg_mappings":[{"sdg_number":0,"sdg_label":"Good health and well-being"}],"linked_datasets":[{"doi":"10.6084/m9.figshare.26094382.v1","title":"Additional file 1 of An exercise and patient education intervention to reduce pain and physical limitations in adults with acetabular dysplasia: study protocol for a process evaluation integrated within a randomised controlled trial (the MovetheHip trial)","publisher":"figshare","resource_type":"JournalArticle"},{"doi":"10.6084/m9.figshare.26094382","title":"Additional file 1 of An exercise and patient education intervention to reduce pain and physical limitations in adults with acetabular dysplasia: study protocol for a process evaluation integrated within a randomised controlled trial (the MovetheHip trial)","publisher":"figshare","resource_type":"JournalArticle"}],"clinical_trials":[],"software_tools":[],"database_accessions":[],"source":"live","citation_network_status":"fetched"},"created_at":"2026-08-01T10:24:33.009115Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}