Obesity, Bariatric Surgery, and Hip/Knee Arthroplasty Outcomes

被引：12

作者：

Mellion, Katelyn M. ^{[1
]}

Grover, Brandon T. ^{[2
]}

机构：

[1] Gundersen Hlth Syst, Adv Gastrointestinal Minimally Invas Surg & Baria, Dept Med Educ, 1900 South Ave C05-001, La Crosse, WI 54601 USA

[2] Gundersen Hlth Syst, Dept Surg, 1900 South Ave C05-001, La Crosse, WI 54601 USA

来源：

SURGICAL CLINICS OF NORTH AMERICA | 2021年 / 101卷 / 02期

关键词：

Bariatric surgery; Lower extremity osteoarthritis; Arthroplasty; Outcomes; TOTAL KNEE ARTHROPLASTY; TOTAL JOINT ARTHROPLASTY; TOTAL HIP-ARTHROPLASTY; MORBIDLY OBESE; RISK-FACTORS; WEIGHT-LOSS; POSTOPERATIVE COMPLICATIONS; MUSCULOSKELETAL PAIN; OSTEOARTHRITIS; GAIT;

D O I：

10.1016/j.suc.2020.12.011

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Obesity is an independent risk factor for osteoarthritis due to mechanical and inflammatory factors. The gold-standard treatment of end-stage knee and hip osteoarthritis is total joint arthroplasty (TJA). Weight loss decreases progression of osteoarthritis and complications following TJA in patients with obesity. Bariatric surgery allows significant, sustained weight loss and comorbidity resolution in patients with morbid obesity. Existing data describing bariatric surgery on TJA outcomes are limited but suggest a benefit to bariatric surgery prior to TJA. Further studies are needed to determine optimal risk stratification, bariatric procedure selection, and timing of bariatric surgery relative to TJA. © 2020 Elsevier Inc.

引用

页码：295 / 305

页数：11

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