RESEARCH
The Use of BMI and Cutoffs in Orthopaedic Surgery .
As obesity rates rise, so too does the debate over BMI-based surgical cutoffs. This OE Insight explores the origins, strengths, and limitations of BMI, questioning its role as a gatekeeper for joint replacement. While high BMI is linked to surgical risks, emerging evidence and updated guidelines challenge strict cutoff policies. Instead, a more nuanced, patient-centered approach—one that incorporates comorbidities, lifestyle, and risk-benefit trade-offs—is gaining ground in orthopaedics and beyond.
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