Operative management of acetabulum fractures in the obese patient: challenges and solutions.

24 This demonstrates that continuous and categorical BMI data show an important trend that may seem intuitive; the higher the BMI is above a threshold denoting obesity, the worse is the surgical risk and the outcome profile.

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In a retrospective analysis of risk factors of surgical site infection (SSI) after ORIF of acetabular fracture involving 326 patients, BMI was found to have a highly significant association with SSI. 25 A 2015 Chinese study of similar size and methodology found the same result. 26 An early study of 131 displaced acetabular fractures treated with ORIF found that four of the seven major wound issues occurred in morbidly obese patients (five obese patients total), suggesting

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