title: Perioperative Complications in Patients with Inflammatory Arthropathy Undergoing Total Knee Arthroplasty.
abstract: Little data exists comparing acute post-operative outcomes in patients with different types of inflammatory arthritis (IA) after undergoing a total knee arthroplasty (TKA). Our objectives were to compare perioperative complications and determine the most common complications between the different IA subtypes compared with patients with osteoarthritis undergoing primary TKA. We found significant differences when comparing complications within the different subtypes of IA. RA patients, despite having a greater number of comorbidities had a reduced rate of medical complications postoperatively compared to the OA cohort. All of the inflammatory subtypes had a higher rate of orthopedic complications postoperatively compared to the OA group except for patients with AS. However, ankylosing spondylitis had the highest mortality rate as well as medical complication rate among the subtypes.
authors.affiliation: Desert Orthopedic Center, Eisenhower Medical Center, Rancho Mirage, California.
authors.forename: Erik A
authors.initials: EA
authors.lastname: Schnaser
authors.affiliation: Department of Orthopaedic Surgery, University of Virginia, Charlottesville, Virginia.
authors.forename: James A
authors.initials: JA
authors.lastname: Browne
authors.affiliation: Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, New York.
authors.forename: Douglas E
authors.initials: DE
authors.lastname: Padgett
authors.affiliation: Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, New York.
authors.forename: Mark P
authors.initials: MP
authors.lastname: Figgie
authors.affiliation: Center for Advanced Orthopedics, South Miami, Florida.
authors.forename: Michele R
authors.initials: MR
authors.lastname: D'Apuzzo
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001172:Arthritis, Rheumatoid / Q000601:surgery*; D019645:Arthroplasty, Replacement, Knee / Q000009:adverse effects*; D002648:Child; D002675:Child, Preschool; D015897:Comorbidity; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007249:Inflammation / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010003:Osteoarthritis / Q000601:surgery*; D059035:Perioperative Period; D011183:Postoperative Complications / Q000209:etiology*; D011184:Postoperative Period; D013167:Spondylitis, Ankylosing / Q000601:surgery; D055815:Young Adult
keywords: comorbidities; complications; inflammatory arthritis; rheumatoid arthritis; total knee arthroplasty