Abstract
This chapter reviews the practice of total joint arthroplasty in patients with connective tissue disease, emphasizing the common postoperative outcomes and medical complications of this type of surgery. Recent studies of an epidemiologic nature have further expanded our understanding of the clinical course and outcome experienced by patients undergoing total joint arthroplasty of the lower extremity. Although this work is not specifically focused on the connective tissue disease patient, this chapter begins with a brief review of this work as these observations are relevant to all patients undergoing such surgery and they may not be widely known to rheumatologists and other physicians involved in the perioperative care of these patients.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Memtsoudis SG, Besculides MC, Reid S, Lager-Baylis LK, Gonzalez Della Valle A. Trends in bilateral total knee arthroplasties. 153,259 discharges between 1990 and 2004. Clinc Orthop Relat Res. 2009;467:1568–76.
Memtsourdis SG, Gonzalez Dela Valle A, Besculides MC, Gaber L, Sculco TP. In-hospital complications and mortality of unilateral, bilateral, and revision TKA. Based on an estimate of 4,159,661 discharges. Clin Orthop Relat Res. 2008;466:2617–27.
Liu SS, Gonzalez Della Valle A, Besculides MC, Gaber LK, Memtsoudis SG. Trends in mortality, complications, and demographics for primary hip arthroplasty in the United States. Int Orthop. 2008;33:643–51.
Memtsoudis SG, Gonzalez Della Valle A, Besculides MC, Esposito MA, Koulouvaris P, Salvati EA. Risk Factors for perioperative mortality after lower extremity arthroplasty; a population-based study of 6,901,324 patient discharges. J Arthroplasty. 2009;25:19–26.
Memtsoudis SG, Gonzalez Della Valle A, Besculides MC, Gaber L, Laskin R. Trends in Demographics, Comorbidity Profiles, In-Hospital Complications and Mortality Associated with Primary Knee Arthroplasty. 3,830,420 Hospital Discharges in the United States between 1990 and 2004. J Arthroplasty. 2008 April 14. [Epub ahead of print].
Memtsoudis SG, Yan Ma, Gonzalez Della Valle A, Gaber-Baylis L, MacKenzie CR, Sculco TP. Perioperative outcomes after unilateral and bilateral total knee arthroplasty. Anesthesiology. 2009;111:1206. Accepted for publication.
Da Silva E, Doran MF, Crowson CS, et al. Declining use of orthopedic surgery in patients with rheumatoid arthritis? Results of a long-tem, population-based assessment. Arthritis Rheum. 2003;49:216–20.
Fevang BTS, Havelin LI, Engesaeter B, Furness O. Reduction in orthopedic surgery among patients with chronic inflammatory joint disease in Norway, 1994-2004. Arthritis Rheum. 2007;57:529–32.
Pereira L, De Piano A, Prado Golmia R, Scheinberg MA. Decreased need of large joint replacement in patients with rheumatoid arthritis in a specialized Brazilian center. Clin Rheumatol. 2010;30:549–50.
Momohara S, Ikari K, Mochizuki T, et al. Ann Rheum Dis. 2009;68:291–2.
Weiss RJ, Ehlin A, Montgomery SM, et al. Decrease in RA-related orthopaedic surgery of the upper limbs between 1998 and 2004: data from 54579 Swedish RA inpatients. Rheumatology. 2008;47:491–4.
Goodman SM, Figgie MP, MacKenzie CR. Perioperative management of patients with connective tissue disease. HSS J. 2011;7:72–9.
Wolfe F, Zwillich SH. The long-term outcomes of rheumatoid arthritis. Athritis Rheum. 1998;41:1072–82.
Verstappen SM, Hoes JN, Ter Borg EJ, et al. Joint surgery in the utrecht rheumatoid arthritis cohort; the effect of treatment strategy. Ann Rheum Dis. 2006;65:1506–11.
Palm TM, Kaarela K, Hakala MS, et al. Need and sequence of large joint replacements in rheumatoid arthritis. A 25-year follow-up study. Clin Exp Rheumatol. 2002;20:392–4.
James D, Young A, Kulinskaya E, et al. Orthopaedic intervention in early rheumatoid arthritis. Occurrence and predictive factors in an inception cohort of 1064 patients followed for 5 years. Rheumatology. 2004;43:369–76.
Osnes-Ringen H, Kvien TK, Henriksen LB, et al. Orthopaedic surgery in 255 patients with inflammatory arthropathies: longitudinal effects on pain, physical function and health-related quality of life. Ann Rheum Dis. 2009;68(10):697–703.
Kapetanovic MC, Lindqvist E, Saxne T, Eberhardt K. Orthopaedic surgery in patients with rheumatoid arthritis over 20 years: prevalence and predictive factors of larger joint replacement. Ann Rheum Dis. 2008;67:1412–6.
Gladman DD, Mease PJ, Choy EH, et al. Risk factors for radiographic progression in psoriatic arthritis: subanalysis of the randomized controlled trial ADEPT. Arthritis Res Ther. 2010;12(3):R113.
Gladman DD, Chandran V. Observational cohort studies: Lessons learnt from the University of Toronto Psoriatic Arthritis Program, Rheumatology (Oxford) 6 Aug 2010.
Sochart DH, Porter ML. Long-term results of total hip replacement in young patients who had ankylosing spondylitis, eighteen to thirty-year results with survivorship analysis. J Bone Joint Surg Am. 1997;79(8):1181–9.
Sweeney S, Gupta R, Taylor G, et al. Total hip arthroplasty in ankylosing spondylitis: outcome in 340 patients. J Rheumatol. 2001;28(8):1862–6.
Parvizi J, Duffy GP, Tousdale RT. Total knee arthroplasty in patient with ankylosing spondylitis. J Bone Joint Surg. 2001;83:1312–6.
Gladman DD, Chaudhry-Ahluwalia V, Ibanez D, et al. Outcomes of symptomatic osteonecrosis in 95 patients with systemic lupus erythematosus. J Rheumatol. 2001;28(10):2226–9.
Gladman DD, Urowitz MB, Chaudhry-Ahluwalia V, et al. Predictive factors for symptomatic osteonecrosis in patients with systemic lupus erythematosus. J Rheumatol. 2001;28(4):761–5.
Mouroa AF, Amaral M, Caetano-Lopes J, Isenberg D. An analysis of joint replacement in patients with systemic lupus erythematosus. Lupus. 2009;18(14):1298–302.
Ito H, Matsuno T, Hirayama T, et al. Health-related quality of life in patients with systemic lupus erythematosus after medium to long-term follow-up of hip arthroplasty. Lupus. 2007;18(12):318–23.
Huo MH, Salvati EA, Browne MG, et al. Primary total hip arthroplasty in systemic lupus erythematosus. J Arthroplasty. 1992;7(1):51–6.
Zangger P, Gladman DD, Urowitz MB, et al. Outcome of total hip replacement for avascular necrosis in systemic lupus erythematosus. J Rheumatol. 2000;27(4):919–23.
Mont MA, Fairbank AC, Petri M, Hungerford DS. Core decompression for osteonecrosis of the femoral head in systemic lupus erythemotosus. COOR. 1997;334:91–7.
Geerts WH, Pineo GF, Heti JA, et al. Prevention of venous thromboembolism. Chest. 2004;126:338S–400.
AAOS guidelines. http://www.aaos.org/Research/guidelines/PE_guideline.pdf.
Prins MH, Hirsh J. A comparison of general anesthesia and regional anesthesia as a risk factor for deep vein thrombosis following total hip surgery: a critical review. Thromb Haemost. 1990;64:497–500.
Lieberman JR, Geerts WH. Prevention of venous thromboembolism after total hip and knee arthroplasty. J Bone Joint Surg. 1994;76:1239–50.
Della Valle AG, Serota A, Go G, et al. VTE is rare with a multimodal prophylaxis protocol after THA. Clin Orthop Relat Res. 2006;444:146–53.
Beksac B, Della Valle GA, Anderson J, et al. Symptomatic thromboembolism after one-stage bilateral THA with a multimodal prophylaxis protocol. Clin Orthop Relat Res. 2007;463:114–9.
Sharrock NE, Gonzalez Della Valle A, Go G, et al. Potent anticoagulants are associated with higher all-cause mortality rate after hip and knee arthroplasty. Clin Orthop Relat Res. 2008;466(3):714–21.
Barrack RL. Failure of the American College of Chest Physicians-1A protocol for lovenox in clinical outcomes for thromboembolic prophylaxis. J Arthroplasty. 2007;22(3):317–24.
Parisi MD, Koval K, Egoi K. Fat embolism syndrome. Am J Orthop. 2002;31:505–12.
Levy D. The fat embolism: a review. Clin Orthop. 1990;261:281–6.
Johnson MJ, Lucas GI. Fat embolism syndrome: a review of the pathophysiology and physiological basis of treatment. Clin Orthop. 1982;19:48–9.
Nazon D, Abergel G, Hatem CM. Critical care in orthopedic and spine surgery. Crit Care Clin. 2003;19:33–53.
Rose HA, Hood RW, Otis JC, et al. Peroneal nerve palsy following total knee arthroplasty: a review of the hospital for special surgery experience. J Bone Joint Surg Am. 1982;64:347.
Lyman S, Wu A, E Su. AAOS annual meeting, New Orleans; 2010
Calligro KD, Dougherty MJ, Ryan S, et al. Acute arterial complications associated with total hip and knee arthroplasty. J Vasc Surg. 2003;38(6):1170–7.
Neal B, Gray H, MacMahon S, et al. Incidence of heterotopic bone after major hip surgery. ANZ J Surg. 2002;72(11):808–21.
Higo, Matawari, Shigematsu, et al. Then incidence of HO after cementless THA. J Arthroplasty 2006;21(6):852-56.
Austin KS, Siliski JM. Symptomatic Heterotopic Ossification Following Total Knee Arthroplasty. J Arthroplasty. 1995;10:695–8.
Iorio R, Healy WL. Heterotopic ossification after hip and knee arthroplasty: risk factors, prevention, and treatment. J Am Acad Orthop Surg. 2002;10(6):581–95.
Pile JC. Evaluating postoperative fever. Cleve Clin J Med. 2006;73(1):S62–6.
Dellinger EP. Approach to the patient with postoperative fever. In: Gorbach SL, Barlett JG, Blacklow NR, editors. Infectious diseases. 3rd ed. Philadelphia: Lippincott Williams Wilkins; 2004. p. 817.
Shaw JA, Chung R. Febrile response after knee and hip arthroplasty. Clin Orthop Relat Res. 1999;367:181–9.
Garibaldi RA, Brodine S, Matsumiya S, et al. Evidence for the non-infectious etiology of early postoperative fever. Infect Control. 1985;6:273–7.
Engoren M. Lack of association between atelectasis and fever. Chest. 1995;107:81–4.
Roberts J, Barnes W, Pennock M, et al. Diagnostic accuracy of fever as a measure of postoperative pulmonary complications. Heart Lung. 1988;17:166–70.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2013 Springer Science+Business Media, LLC
About this chapter
Cite this chapter
MacKenzie, C.R., Su, E.P. (2013). Total Joint Arthroplasty in the Patient with Connective Tissue Disease. In: Mandell, B. (eds) Perioperative Management of Patients with Rheumatic Disease. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-2203-7_20
Download citation
DOI: https://doi.org/10.1007/978-1-4614-2203-7_20
Published:
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4614-2202-0
Online ISBN: 978-1-4614-2203-7
eBook Packages: MedicineMedicine (R0)