Strategies for Weight Reduction Prior to Total Joint Arthroplasty

* The number of total joint arthroplasty (TJA) procedures done in patients with obesity is increasing in the United States. * Compared with patients without obesity who undergo TJA, patients with obesity are at increased risk for numerous complications including periprosthetic joint infection and revision TJA. * Weight reduction prior to TJA in patients with obesity may mitigate these severe complications and the associated costs. * A multidisciplinary approach is most effective in order to achieve durable long-term weight loss. * Numerous therapies including behavioral, pharmaceutical, and surgical options exist but must be tailored to the individual patient.