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ISSN: 2161-1076

Surgery: Current Research
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Review Article

Outcomes of Osteoarthritis after Bariatric Surgery

Lan Vu1, Noah J. Switzer2, D’Arcy C. Durand1, Douglas Hedden1,3 and Shahzeer Karmali1,3*

1Department of Surgery, University of Alberta, Edmonton, Alberta, Canada

2Faculty of Medicine & Dentistry, University of Alberta, Edmonton, Alberta, Canada

3Department of Surgery, University of Alberta, Center for the Advancement of Minimally Invasive Surgery (CAMIS), Edmonton, Alberta, Canada

*Corresponding Author:
Shahzeer Karmali
Royal Alexandra Hospital
Room 405, Community Services Center
10240 Kingsway, Edmonton, Alberta
Canada, T5H 3V9
Tel : 780-735-6650
Fax: 780-735-6652
E-mail: [email protected]

Received date: April 26, 2013; Accepted date: August 22, 2013; Published date: August 29, 2013

Citation: Vu L, Switzer NJ, Durand DAC, Hedden D, Karmali S (2013) Outcomes of Osteoarthritis after Bariatric Surgery. Surgery Curr Res 3:141. doi:10.4172/2161-1076.1000141

Copyright: © 2013 Vu L, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Joint Osteoarthritis (OA) is a major source of morbidity and disability in the aging population. It is especially a concern to overweight individuals, as obesity is an important risk factor for the development of OA. The relationship between obesity and the development of joint damage is not purely the result of mechanical forces as pathologic inflammatory markers have been implicated in the process as well. Recent clinical practise guidelines state that weight-loss leads to functional improvement in joint pain. It can then be expected that bariatric surgery, the only proven long-term weight-loss modality in the morbidly obese, should have a similar effect. However, the improvement in OA post-surgery is not as drastic in comparison to the change in other obesity-related co-morbidities. Bariatric surgery, however, can be used in conjunction with orthopaedic surgery to ultimately treat OA through joint replacement. Effective weight-loss, as achieved through bariatric surgery, can improve post-operative outcomes in the obese population, making poor surgical candidates into acceptable ones. In this editorial, we explore the relationship between obesity and osteoarthritis and the roles of combining bariatric and orthopaedic surgeries.

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