The Role of Bariatric Surgery in the Obese Total Joint Arthroplasty Patient

Jessica M Hooper; Ajit J Deshmukh; Ran Schwarzkopf

doi:10.1016/j.ocl.2018.02.003

The Role of Bariatric Surgery in the Obese Total Joint Arthroplasty Patient

Orthop Clin North Am. 2018 Jul;49(3):297-306. doi: 10.1016/j.ocl.2018.02.003.

Authors

Jessica M Hooper¹, Ajit J Deshmukh², Ran Schwarzkopf³

Affiliations

¹ Department of Orthopaedic Surgery, New York University Langone Orthopaedic Hospital, 301 East 17th Street, New York, NY 10003, USA.
² Department of Adult Reconstruction, New York University Langone Orthopaedic Hospital, 301 East 17th Street, New York, NY 10003, USA.
³ Adult Reconstructive Surgery, Department of Adult Reconstruction, New York University Langone Orthopaedic Hospital, 301 East 17th Street, Suite 1402, New York, NY 10003, USA. Electronic address: [email protected].

PMID: 29929711
DOI: 10.1016/j.ocl.2018.02.003

Abstract

Although bariatric surgery is a proven means of weight loss and treatment of obesity-related comorbidities in morbidly obese patients, it is not yet clear how it affects outcomes after total joint arthroplasty in this high-risk patient population. This article explores the effects of obesity and bariatric surgery on osteoarthritis and total joint arthroplasty, and also discusses the financial and ethical implications of use of bariatric surgery for risk reduction before total joint arthroplasty.

Keywords: Arthroplasty; Bariatric surgery; Complications; Outcomes; Readmissions; Risk modification.

Publication types

Review

MeSH terms

Arthroplasty, Replacement / adverse effects*
Bariatric Surgery*
Humans
Obesity, Morbid / complications*
Obesity, Morbid / surgery*
Postoperative Complications / etiology*
Postoperative Complications / prevention & control*
Risk Factors
Weight Loss