1. New recommendations challenge delaying total knee arthroplasty based on body mass index thresholds.
2. Emphasis on shared decision-making and individualized care planning in patients with symptomatic moderate-to-severe osteoarthritis.
3. Increased perioperative risks associated with obesity influences the debate around surgical timing.
4. Evidence supports perioperative risks with obesity, including increased risk of complications and aseptic loosening.
5. Uncertainty remains regarding the benefits of preoperative weight loss, emphasizing the need for individualized care planning and risk mitigation.

Source: Annals of Internal Medicine