OE JOURNAL
OE Journal
Vol. 14 | Iss. 7 | April 2026 - 13 Studies
Questions This Issue Explores
What is the impact of bariatric surgery on long-term clinical outcomes in patients undergoing total joint arthroplasty?
In patients with knee osteoarthritis, how does mesenchymal stem cell injection compare to hyaluronic acid injection?
What is the anti-inflammatory effect of multi-dose protocol tranexamic acid in patients undergoing a total hip or knee replacement?
Are dextrose injections effective for the treatment of chronic anterior talofibular ligament sprains?
What is the efficacy of extracorporal shock wave therapy for the treatment of plantar fasciitis?
EDITOR'S PICK 
Impact of Bariatric Surgery on Long Term Outcomes of Patients Undergoing Joint Arthroplasty
Nineteen studies including 391 964 patients with obesity undergoing joint arthroplasty were included in this systematic review and meta-analysis comparing prior bariatric surgery versus no bariatric surgery. Pooled outcomes of interest included periprosthetic infection, periprosthetic fracture, dislocation, revision rate, mortality, and need for blood transfusion. Overall, bariatric surgery showed no significant effect on infection, fracture, revision, mortality, or transfusion rates, but was associated with increased risk of dislocation in total hip arthroplasty (THA) patients. These findings suggest bariatric surgery does not substantially alter most long-term arthroplasty outcomes but may influence hip stability.
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