The Influence of Surgically-Induced Weight Loss on the Knee Joint

Abu‐Abeid, Subhi; Wishnitzer, Nurit; Szold, Amir; Liebergall, Meir

doi:10.1381/096089205774859281

Cited by 66 publications

(53 citation statements)

References 12 publications

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“…It is important to notice that even individuals without OA diagnosis presented with high WOMAC scores, which points out the functional limitation imposed by the presence of obesity. Several studies have shown an improvement of symptoms and quality of life in obese osteoarthritic subjects treated with bariatric surgery 1,7,8 . The main limitation of this study is that the sample is composed of individuals referred for surgical treatment of obesity in the public system.…”

Section: Discussionmentioning

confidence: 99%

“…Besides the obvious mechanical overload, cytokines associated with adipose tissue, including adiponectin, leptin and resistin also influence the onset and worsening of OA through direct degradation of the joint or inflammatory processes stimulation 17 . Literature shows clear relationship between weight loss through bariatric surgery and OA symptoms improvement 1,7,8 . Prevalence of osteoarthritis in Brazilian adult population is 4.14% according to the only existing study on the subject 16 .…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Prevalence of joint pain and osteoarthritis in obese Brazilian population

Campos

Pacca

Sonnewend

et al. 2017

Osteoarthritis and Cartilage

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Prevalence of joint pain and osteoarthritis in obese Brazilian population

Campos

Pacca

Sonnewend

et al. 2017

Osteoarthritis and Cartilage

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show abstract

“…Therefore, there may be a role for bariatric surgery in preventative healthcare. An interesting study by Abu-Abeid et al [27] studied 64 patients with knee pain and early signs of OA on radiographs, who underwent bariatric surgery. At 3-month follow-up, the joint space increased an average of 0.65 mm with an associated average BMI reduction of 6.3 kg/m 2 which correlated with improved pain-control.…”

Section: Bariatric Surgery Link To Improved Osteoarthritismentioning

confidence: 99%

Outcomes of Osteoarthritis after Bariatric Surgery

Vu¹

2013

Surgery

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“…Any operative intervention offered can provide excellent results in terms of weight loss and improvements in associated comorbidities, including osteoarthritis. 1,3 Such procedures will not only reduce the risks of subsequent orthopaedic surgery for these patients but, in some cases, postpone or exclude the need for such treatment. 4 Excellent results have already been reported for arthroplasty following bariatric surgery.…”

Section: O M M E N T O Nmentioning

confidence: 99%

Comment on: Bariatric surgery should be considered as a potential intervention for the obese patient with osteoarthritis

Egan

Morgan

Norton

2010

Ann R Coll Surg Engl

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We read with interest this paper on barriers to weight loss in obese patients with knee osteoarthritis. It is increasing recognised that significant weight loss can be achieved in such patients through bariatric surgery, such as laparoscopic gastric banding or gastric bypass.1 Using patient-driven weight loss as an incentive for proceeding to arthroplasty will fail to achieve meaningful results.With a mean body mass index of 34 kg/m 2 in the study cohort and a documented obesity-related co-morbidity, almost half of the patients may be suitable for referral to a bariatric team, according to National Institute for Health and Clinical Excellence guidelines.2 This allows patients to be fully educated with regards to weight loss, whilst receiving the specialist dietary and medical input required. Any operative intervention offered can provide excellent results in terms of weight loss and improvements in associated comorbidities, including osteoarthritis. 1,3Such procedures will not only reduce the risks of subsequent orthopaedic surgery for these patients but, in some cases, postpone or exclude the need for such treatment. 4 Excellent results have already been reported for arthroplasty following bariatric surgery. 5 Although not suitable for all, we would recommend consideration of bariatric surgery in morbidly obese patients presenting with osteoarthritis and other weight-related musculoskeletal pathology. We wonder how much reportage of pancreatic cancer exists in the media and what influences this coverage. We believe that the pancreas itself is not fully appreciated by the general population and most knowledge about it comes from patient information, once the organ has become diseased. Pancreatic cancer thankfully affects a small proportion of the population (either directly or indirectly), but has a poor 5-year survival outcome. This lack of insight into the pancreas, coupled with a relatively low incidence of malignancy means that pancreatic cancer does not have as high profile as other tumours (for example, breast, cervical and lung).One potential factor for the raised awareness of certain malignancies may relate to celebrities; for example, Kylie Minogue and breast cancer and Jade Goody and cervical cancer. The diseases of both of these celebrities were played out in the media and there were associated increases in screening Case reports are now published online. A list of new case reports appears each month in the Annals. Readers may comment on any print or online publication directly at our online Readers' Pages Letters and commentsContributors to this section are asked to make their comments brief and to the point. Letters should comply with the instructions to authors at http://www.rcseng.ac.uk/publications/submissions/authorinstructions.html. Tables and figures should only be included if absolutely essential and no more than five references should be given. The editor reserves the right to shorten letters and subedit contributions to ensure clarity.

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The Influence of Surgically-Induced Weight Loss on the Knee Joint

Abstract: Surgically-induced weight loss is an effective, rapid and dependable means of reversing the radiological signs of early changes associated with OA.

Cited by 66 publications

References 12 publications

Prevalence of joint pain and osteoarthritis in obese Brazilian population

Prevalence of joint pain and osteoarthritis in obese Brazilian population

Outcomes of Osteoarthritis after Bariatric Surgery

Comment on: Bariatric surgery should be considered as a potential intervention for the obese patient with osteoarthritis

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