arthroplasty
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Introduction
Joint replacement with a prosthesis.
Epidemiology
- 2% of Americans
Indications
Laboratory
Complications
- prosthesis infection
- risk factors:
- obesity > diabetes; when both present, risk is higher[3]
- bacteriuria, but antibiotics not helpful*[6]
- risk factors:
- glucocorticoids associated with excess risk of postoperative infection[7]
* risk not diminished by antibiotics & organisms isolated from infected joint never the same as organism isolated from preoperative urine[6]
Notes
- bisphosphonate use is associated with a lower rate of revision after hip arthroplasty & knee arthroplasty & longer implant survival[2]
More general terms
More specific terms
- acetabuloplasty
- arthroplasty, shoulder
- arthroplasty, wrist
- hemiarthroplasty
- hip resurfacing
- total hip arthroplasty/replacement (THA, THR)
- total knee arthroplasty (TKA, TKR)
- vertebral arthroplasty
References
- ↑ Genova A. In: Intensive Course in Geriatric Medicine & Board Review, Marina Del Ray, CA, Sept 12-15, 2001
- ↑ 2.0 2.1 Prieto-Alhambra D et al. Association between bisphosphonate use and implant survival after primary total arthroplasty of the knee or hip: Population based retrospective cohort study. BMJ 2011 Dec 6; 343:d7222 PMID: https://www.ncbi.nlm.nih.gov/pubmed/22147909
- ↑ Jamsen E et al. Obesity, diabetes, and preoperative hyperglycemia as predictors of periprosthetic joint infection: A single-center analysis of 7181 primary hip and knee replacements for osteoarthritis. J Bone Joint Surg Am 2012 Jul 18; 94:e1011 PMID: https://www.ncbi.nlm.nih.gov/pubmed/22810408
- ↑ Marchione M Study: 2 percent of Americans have new hips, knees. Yahoo News. March 11, 2014 https://news.yahoo.com/study-2-percent-americans-hips-knees-051704182.html NEJM Journal Watch, March 12, 2014 Massachusetts Medical Society http://www.jwatch.org
- ↑ 5.0 5.1 Giori NJ et al. Many diabetic total joint arthroplasty candidates are unable to achieve a preoperative hemoglobin A1c goal of 7% or less. J Bone Joint Surg Am 2014 Mar 19; 96:500. PMID: https://www.ncbi.nlm.nih.gov/pubmed/24647507
- ↑ 6.0 6.1 6.2 Sousa R et al. Is asymptomatic bacteriuria a risk factor for prosthetic joint infection? Clin Infect Dis 2014 Jul 1; 59:41. <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/24723280 <Internet> http://cid.oxfordjournals.org/content/59/1/41
Duncan RA. Prosthetic joint replacement: Should orthopedists check urine because it's there? Clin Infect Dis 2014 Jul 1; 59:48 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/24723277 <Internet> http://cid.oxfordjournals.org/content/59/1/48 - ↑ 7.0 7.1 George MD et al. Risk of biologics and glucocorticoids in patients with rheumatoid arthritis undergoing arthroplasty: A cohort study. Ann Intern Med 2019 May 21; PMID: https://www.ncbi.nlm.nih.gov/pubmed/31108503
Ravi B, Hawker G. Elucidating the risks and benefits of withholding biologics to optimize surgical outcomes. Ann Intern Med 2019 May 21; PMID: https://www.ncbi.nlm.nih.gov/pubmed/31108501 - ↑ Menon N, Turcotte J, Stone A et al. Outpatient, home-based physical therapy promotes decreased length of stay and post-acute resource utilization after total joint arthroplasty. J Arthroplasty. 2020;35(8):1968-1972 https://www.arthroplastyjournal.org/article/S0883-5403(20)30279-5/fulltext
- ↑ American Joint Replacement Registry http://www.aaos-annualmeeting-presskit.org/2014/daily_schedule/downloads/ajrr.pdf