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Bariatric Surgery Prior to Total Joint Arthroplasty, Does it Decrease the Risk of Obesity Related Perioperative
A I Stavrakis1,2, A Khoshbin3,4, A S McLawhorn3
1Hospital for Special Surgery, 535 East 70th Street, New York, NY, 10021, USA. astavrakis@mednet.ucla.edu.
Current Rheumatology Reports
|February 22, 2018
Summary
Bariatric surgery may improve outcomes for patients undergoing arthroplasty, but more research is needed. Current studies are limited, highlighting the need for prospective trials to confirm benefits and explore complication reduction strategies for obese patients.
Area of Science:
- Orthopedics and Sports Medicine
- Bariatric Surgery
- Obesity Research
Background:
- Obesity is a significant risk factor for osteoarthritis (OA).
- High body mass index negatively impacts arthroplasty outcomes.
- Managing obesity is crucial for improving surgical results in joint replacement.
Purpose of the Study:
- To review the relationship between obesity, osteoarthritis, and arthroplasty outcomes.
- To explore the potential of bariatric surgery to enhance arthroplasty results.
- To identify research gaps in the current literature.
Main Methods:
- Literature review of existing studies.
- Analysis of retrospective data on bariatric surgery and arthroplasty.
- Synthesis of findings on obesity, OA, and joint replacement outcomes.
Main Results:
- Current literature primarily consists of retrospective studies.
- Findings regarding the efficacy of pre-arthroplasty bariatric surgery are conflicting.
- Obese patients face higher complication rates after arthroplasty.
Conclusions:
- Prospective studies are essential to validate the benefits of bariatric surgery before arthroplasty.
- Further research is needed to develop strategies for minimizing post-arthroplasty complications in obese individuals.
- Optimizing patient weight through interventions like bariatric surgery may improve joint replacement success.
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