Table 1.
The most commonly used hip and knee arthroplasty components and manufacturer recommendations for patients with obesity/excessive weight
| Implant | Manufacturer | Recommendation | Instructions for use reference | |
|---|---|---|---|---|
| Cemented femoral stems | Exeter™ V40™ | Stryker | Warning in heavy/obese patients | 96E112 Rev. G |
| CPT® | Zimmer | Warning in heavy patients | 87–6203–912–22 | |
| C-Stem® AMT | DePuy | Caution in obesity or excessive patient weight | IFU-78410023 Rev. E | |
| C-Stem® | DePuy | Caution in obesity or excessive patient weight | IFU-78410023 Rev. E | |
| CPCS | Smith & Nephew | Contraindication – Morbid obesity (relative or absolute) | 81078790 Rev. C | |
| Uncemented femoral stems | Corail® | DePuy | Caution in obesity or excessive patient weight | W90942 Rev. E |
| Furlong® | JRI | Contraindication – Obesity | 115–029 Issue 13 | |
| Taperloc® | Biomet | Relative contraindication – Morbid obesity | 5401000158 Rev. 10 | |
| Accolade® | Stryker | Contraindication – Obesity | 0095–3-200V | |
| M/L Taper | Zimmer | Warning in heavy patients | 87–6203–501–22 Rev. E | |
| Cemented acetabular cups | Contemporary | Stryker | Warning in heavy/obese patients | 96E112 Rev. G |
| Exeter® RimFit™ | Stryker | Warning in heavy/obese patients | 96E112 Rev. G | |
| Marathon™ | DePuy | Caution in obesity or excessive patient weight | IFU-0902–00–701 Rev. N | |
| Elite Plus™ Ogee® | DePuy | Caution in obesity or excessive patient weight | IFU-0902–00–701 Rev. N | |
| Elite Plus™ | DePuy | Caution in obesity or excessive patient weight | IFU-0902–00–701 Rev. N | |
| Uncemented acetabular cups | Pinnacle® | DePuy | Caution in obesity or excessive patient weight | IFU-0902–00–701 Rev. N |
| Trident® | Stryker | Warning – Do not implant in obese patients | QIN 4350 Rev. G | |
| CSF Plus | JRI | Contraindication – Obesity | 155–019 Issue 14 | |
| Exceed ABT™ | Biomet | Relative contraindication – Morbid obesity | 5401000427 Rev. 07 | |
| Trilogy® | Zimmer | Counselling for heavy patients | 87–6203–367–22 | |
| Total knee arthroplasty | PFC® Sigma® | DePuy | Caution in obesity or excessive patient weight | IFU-0902–00–252 Rev. K |
| NexGen® | Zimmer | Counselling in heavy patients | 87–6203–453–23 | |
| Triathlon® | Stryker | Contraindication – Obesity | QIN4376 Rev. G | |
| Vanguard | Biomet | Contraindication – Pathological obesity | 0902–00–077D | |
| Genesis™ II | Smith & Nephew | Contraindicated in conditions that tend to place increased loads on implants such as weight, which are incompatible with a satisfactory long-term result | 81074901 Rev. O |