Arthroplasty in organ transplant patients

The number of solid organ transplants performed in the United States continues to increase annually as does survival after transplant. These unique patients are increasingly likely to present to arthroplasty surgeons for elective hip or knee replacement secondary to a vascular necrosis from chronic...

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Main Authors: Brian T. Nickel, MD, Cameron K. Ledford, MD, Tyler Steven Watters, MD, Samuel S. Wellman, MD, Michael P. Bolognesi, MD
Format: Article
Language:English
Published: Elsevier 2015-06-01
Series:Arthroplasty Today
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2352344115000266
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author Brian T. Nickel, MD
Cameron K. Ledford, MD
Tyler Steven Watters, MD
Samuel S. Wellman, MD
Michael P. Bolognesi, MD
author_facet Brian T. Nickel, MD
Cameron K. Ledford, MD
Tyler Steven Watters, MD
Samuel S. Wellman, MD
Michael P. Bolognesi, MD
author_sort Brian T. Nickel, MD
collection DOAJ
description The number of solid organ transplants performed in the United States continues to increase annually as does survival after transplant. These unique patients are increasingly likely to present to arthroplasty surgeons for elective hip or knee replacement secondary to a vascular necrosis from chronic immunosuppression, or even age-related development of osteoarthritis. Transplant recipients have a well-documented increased risk of complications but also excellent pain relief and dramatic improvement in quality of life. A multidisciplinary approach with the assistance of the medical transplant services for risk stratification and perioperative medical optimization is necessary. Prior solid organ transplant is not a contraindication to surgery; however, it is the responsibility of the surgeon to educate patients about the relative risks and benefits of prior to surgery.
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spelling doaj.art-d13f7fb3af744409863b25f828721fae2022-12-21T23:46:36ZengElsevierArthroplasty Today2352-34412015-06-0112414410.1016/j.artd.2015.04.002Arthroplasty in organ transplant patientsBrian T. Nickel, MDCameron K. Ledford, MDTyler Steven Watters, MDSamuel S. Wellman, MDMichael P. Bolognesi, MDThe number of solid organ transplants performed in the United States continues to increase annually as does survival after transplant. These unique patients are increasingly likely to present to arthroplasty surgeons for elective hip or knee replacement secondary to a vascular necrosis from chronic immunosuppression, or even age-related development of osteoarthritis. Transplant recipients have a well-documented increased risk of complications but also excellent pain relief and dramatic improvement in quality of life. A multidisciplinary approach with the assistance of the medical transplant services for risk stratification and perioperative medical optimization is necessary. Prior solid organ transplant is not a contraindication to surgery; however, it is the responsibility of the surgeon to educate patients about the relative risks and benefits of prior to surgery.http://www.sciencedirect.com/science/article/pii/S2352344115000266Solid organ transplantTotal knee arthroplastyTotal hip arthroplasty
spellingShingle Brian T. Nickel, MD
Cameron K. Ledford, MD
Tyler Steven Watters, MD
Samuel S. Wellman, MD
Michael P. Bolognesi, MD
Arthroplasty in organ transplant patients
Arthroplasty Today
Solid organ transplant
Total knee arthroplasty
Total hip arthroplasty
title Arthroplasty in organ transplant patients
title_full Arthroplasty in organ transplant patients
title_fullStr Arthroplasty in organ transplant patients
title_full_unstemmed Arthroplasty in organ transplant patients
title_short Arthroplasty in organ transplant patients
title_sort arthroplasty in organ transplant patients
topic Solid organ transplant
Total knee arthroplasty
Total hip arthroplasty
url http://www.sciencedirect.com/science/article/pii/S2352344115000266
work_keys_str_mv AT briantnickelmd arthroplastyinorgantransplantpatients
AT cameronkledfordmd arthroplastyinorgantransplantpatients
AT tylerstevenwattersmd arthroplastyinorgantransplantpatients
AT samuelswellmanmd arthroplastyinorgantransplantpatients
AT michaelpbolognesimd arthroplastyinorgantransplantpatients