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We were unable to process your request. Please try again later. If you continue to have this issue please contact customerservice@slackinc.com.<\/strong> <\/p>\nBack to Healio<\/button><\/p>\n<\/div>\n<\/div><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/div>\nKey takeaways:<\/h2>\n\nPatients who had a BMI greater and less than 30 kg\/m2<\/sup> had no significant differences in complications.<\/li>\nHowever, patients with a BMI of 30 kg\/m2<\/sup> or greater had worse patient-reported outcomes.<\/li>\n<\/ul>\nNEW ORLEANS \u2014 Patients with a BMI of 30 kg\/m2<\/sup> or greater who underwent medial patellofemoral reconstruction had similar complication rates to patients with a BMI less than 30 kg\/m2<\/sup>, according to results presented here.<\/p>\n\u201cBMI is a useful screening tool, but it is an imperfect measure of obesity and most physicians recognize its limitations,\u201d Elizabeth <\/b>R. <\/b>Dennis<\/b>, MD<\/b>, MS<\/b>, FAAOS<\/b>,<\/b> assistant professor in the department of orthopedics at Icahn School of Medicine at Mount Sinai Hospital, told Healio about results presented at the American Academy of Orthopaedic Surgeons Annual Meeting. \u201cWhile BMI is widely used because it is a quick and easy measurement, it does not fully capture a patient\u2019s body composition, musculoskeletal health, strength and functional status, all of which are important factors influencing surgical outcomes.\u201d<\/p>\n
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Lasun<\/b> <\/b>O. <\/b>Oladeji<\/b>, MD, PhD<\/b>,<\/b> assistant professor of clinical orthopedics at the University of Miami, along with Dennis and colleagues utilized prospectively collected data from 713 patients who underwent MPFL reconstruction from the Justifying Patellar Instability Treatment by Early Results (JUPITER) cohort. Patients were categorized into groups based on whether they had a BMI of less than 30 kg\/m2<\/sup> (n = 603) or of 30 kg\/m2<\/sup> or greater (n = 110).<\/p>\nOutcome measures included patient demographics; complications, including patellar subluxation\/dislocation or reoperation; and patient-reported outcome measures.<\/p>\n
Overall, Oladeji said there were no significant differences in complications between the two groups.<\/p>\n
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Elizabeth <\/b>R. <\/b>Dennis<\/b><\/strong><\/p>\n<\/div>\n However, in terms of patient-reported outcomes, patients with a BMI of 30 kg\/m2 <\/sup>or greater had significantly worse Kujala, Pediatric IKDC and Knee Injury and Osteoarthritis Outcomes Score for Joint Replacement scores at baseline, worse Pediatric IKDC and KOOS JR scores at 1 year and worse Kujala and KOOS JR scores at 5 years vs. patients with a BMI less than 30 kg\/m2<\/sup>.<\/p>\n\u201cThis study is strengthened by the fact that we had large cohorts of patients, and the data was prospectively collected,\u201d Oladeji said. \u201cIt supports previous work in the field, which has shown that there are no gross differences in complications following MPFL reconstruction, whether patients are obese or not.\u201d<\/p>\n
Based on these results, Dennis said surgeons should continue to offer stabilization procedures for recurrent instability regardless of their BMI, as these patients still have the potential to achieve meaningful clinical improvement with good surgical outcomes.<\/p>\n
\u201cThese findings reinforce the importance of counseling patients on optimizing their modifiable risk factors and functional status at baseline, as preoperative improvements may translate into better postoperative outcomes,\u201d Dennis said.<\/p>\n
For more information:<\/h2>\n Elizabeth <\/b>R. <\/b>Dennis<\/b>, MD<\/b>, MS<\/b>, FAAOS<\/b>,<\/b> and Lasun<\/b> O. Oladeji<\/b>, MD, PhD<\/b>, <\/b>wish to be contacted through mediarelations@hss.edu.<\/p>\n\n
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Sources\/Disclosures<\/h3>\n Source: <\/h2>\n Oladeji LO, et al. Paper 554. Presented at: American Academy of Orthopaedic Surgeons Annual Meeting; March 2-6, 2026; New Orleans.<\/p>\n
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