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Weight loss through diet and exercise is thus regularly prescribed for the overweight in advance of total joint replacement surgery. But while surgeons and patients have been well aware of the risks of joint replacement surgery for the obese, Dr. Franklin said there was “a gap in the literature” of the potential benefits of the surgery for those who are overweight. So, researchers at UMass Medical School collected data on preoperative and six-month postoperative function, joint pain, and body mass index from a national sample of 2,040 people who had total hip elyze coolsculpting replacement and 2,964 people who had undergone total knee replacement between May 2011 and March 2013. Preoperative and postoperative function and pain were evaluated according to body mass index status - defined as under or of normal weight, overweight, obese, severely obese, or morbidly obese. Patients across BMI levels who underwent knee or hip replacement surgery reported virtually the same pain relief and improved function as normal-weight joint replacement patients six months after surgery. “Total knee and hip replacement can be fairly uniformly successful in improving quality of life,” Dr. Franklin said. “That does not diminish the need to minimize risks … but it’s affirming to be able to communicate that patients across body mass index status are reporting significant quality of life gains.” Dr.

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