Radiographic evaluation of coxofemoral joint in patients submitted to bariatric surgery
Abstract
Introduction: Obesity is a condition characterized by excess of body weight, caused by adipose tissue mass greater than 20% in the individual. Obesity is commonly associated with numerous comorbidities, among them osteoarthrosis, especially in loading joints. The relationship between obesity and osteoarticular lesions of load joints, such as the knee is well defined, but its relation to coxarthrosis is controversial. Objective: The objective of the present study was to investigate possible changes in the coxofemoral joint space in obese patients in comparison with these same patients, after weight reduction caused by bariatric surgery. Materials and methods: This is a prospective study comparing the degree of coxofemoral joint clamping of 16 obese patients, in the pre and postoperative period of bariatric surgery. These patients underwent baseline radiographic examination in orthostasis prior to the procedure and after 6 months. Discussion: The relationship between coxarthrosis and overweight is controversial in the literature. The overload of the articular space with decrease of this, can explain the degeneration of this joint. Results: The radiographic evaluation showed no statistically significant difference in the articular space after bariatric surgery. Conclusion: In view of the results found in this research, it was verified that the joint space coxofemoral, does not suffer direct influence of the overweight or decrease of body mass caused by bariatric surgery.
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