The American College of Rheumatology and American Association of Hip and Knee Surgeons have issued new evidence-based recommendations challenging the practice of delaying total knee arthroplasty based on body mass index thresholds. The guideline emphasizes shared decision-making and individualized care planning in patients with symptomatic moderate-to-severe osteoarthritis. Evidence supports heightened perioperative risks associated with obesity, influencing the debate around surgical timing and the importance of risk mitigation.

Source: Annals of Internal Medicine