Department of General Surgery and the Bariatric and Metabolic Institute, Cleveland Clinic Florida, Weston, FL.
Department of General Surgery, Stanford School of Medicine, Stanford, CA.
J Arthroplasty. 2019 Jul;34(7S):S33-S35. doi: 10.1016/j.arth.2019.03.004. Epub 2019 Mar 9.
Epidemiologic trends and recent literature reports indicate that the combination of bariatric surgery as a first step followed by orthopedic interventions as a second stage is beneficial for our patients. Bariatric interventions have proven to be safe and efficacious, offering a bridge to patients affected by severe obesity and osteoarthritis to undergoing a successful and long-lasting joint arthroplasty. In addition, the combination of joint arthroplasty after bariatric interventions will help patients resume their normal activities while introducing lifestyle changes that will, in turn, enable them to maintain weight loss.
流行病学趋势和最近的文献报告表明，将减重手术作为第一步，然后将骨科干预作为第二步的联合治疗对我们的患者是有益的。减重手术已被证明是安全有效的，为患有严重肥胖症和骨关节炎的患者提供了一个桥梁，使他们能够成功地进行持久的关节置换手术。此外，减重手术后进行关节置换术的联合治疗将帮助患者恢复正常活动，同时引入生活方式的改变，这反过来又使他们能够保持体重减轻。
