减肥手术能改善下肢全关节置换术的疗效吗?

Lauren McDermott
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引用次数: 0

摘要

肥胖是下肢骨关节炎(尤其是膝关节)发生和发展的一个可改变的危险因素。肥胖也与髋关节和膝关节全关节置换术(TJA)的不良结果相关。减肥手术(BS)是一种越来越普遍的减肥方式。本系统综述未显示BS对下肢TJA影响的明确模式。因此,在下肢TJA前预防性BS诱导体重减轻对术后并发症发生率没有显著影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Does bariatric surgery improve outcomes of lower limb total joint arthroplasty?
Obesity is a strong modifiable risk factor for both the incidence and progression of lower limb osteoarthritis, particularly of the knee joint. Obesity is also associated with worse outcomes for total joint arthroplasty (TJA) of the hip and knee. Bariatric surgery (BS) is an increasingly common mode of weight loss. This systematic review shows no clear pattern of the impact of BS on lower limb TJA. Therefore, prophylactic BS prior to lower limb TJA to induce weight loss does not significantly impact postoperative complication rates.
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