title: Rheumatoid arthritis: preoperative evaluation for total hip and total knee replacement surgery.
abstract: The role of total joint replacement surgery remains significant in the contemporary management of patients with rheumatoid arthritis (RA), despite the impact of potent biologic and synthetic disease-modifying drugs. Patients with RA have a systemic polyarticular disease, with extra-articular manifestations such as anemia as well as specific comorbidities such as cardiovascular disease, which require careful preoperative assessment for optimal outcomes and fewer adverse events. This review describes the important preoperative considerations taken to prepare a patient with RA for total hip and total knee replacement surgery.
authors.affiliation: Hospital of Special Surgery, New York, NY, USA. goodmans@hss.edu
authors.forename: Susan M
authors.initials: SM
authors.lastname: Goodman
mesh_terms: D001172:Arthritis, Rheumatoid / Q000150:complications / Q000601:surgery*; D019644:Arthroplasty, Replacement, Hip; D019645:Arthroplasty, Replacement, Knee; D002574:Cervical Vertebrae / Q000000981:diagnostic imaging / Q000473:pathology; D005531:Foot Deformities, Acquired / Q000150:complications / Q000628:therapy; D006331:Heart Diseases / Q000150:complications; D006801:Humans; D016867:Immunocompromised Host; D007166:Immunosuppressive Agents / Q000009:adverse effects; D009894:Opportunistic Infections / Q000209:etiology; D010510:Periodontal Diseases / Q000150:complications; D011300:Preoperative Care; D016459:Prosthesis-Related Infections / Q000209:etiology; D011859:Radiography; D018570:Risk Assessment; D013122:Spinal Diseases / Q000150:complications; D054556:Venous Thromboembolism / Q000150:complications / Q000517:prevention & control
chemical_list: D007166:Immunosuppressive Agents