Perioperative Complications in Patients with Inflammatory Arthropathy Undergoing Total Knee Arthroplasty

Erik A Schnaser1, James A Browne2, Douglas E Padgett3

  • 1Desert Orthopedic Center, Eisenhower Medical Center, Rancho Mirage, California.

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.

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