ArticleInternational orthopaedics2022
Total joint arthroplasty following solid organ transplants: complications and mid-term outcomes.
Article in International orthopaedics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 12 citations in OpenAlex.
- Outcomes and Complications of Total Joint Arthroplasty in Heart Transplant Recipients: A Systematic Review.Journal of clinical medicine · 2026Review
- Impact of solid organ transplant on postoperative outcomes following lumbar spine fusion surgery: A propensity-matched retrospective cohort analysis.North American Spine Society journal · 2026Article
- Clinical outcomes of solid organ transplant patients after total joint arthroplasty: a propensity-matched analysis.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- Patients with prior solid organ transplant who undergo total joint arthroplasty can expect promising patient-reported outcomes and low mortality at 1-year.Journal of clinical orthopaedics and trauma · 2025Article
- Complications of total hip and knee arthroplasty in solid organ transplant patients: a systematic review and meta-analysis.Arthroplasty (London, England) · 2025Article
- Hip and knee arthroplasty in solid organ transplant patients: Results from a Turkish government-based health registry.Acta orthopaedica et traumatologica turcica · 2025Article
- Perioperative complications and mid-term outcomes in total hip and knee joint arthroplasty among solid organ transplant recipients: lowest reoperation-free survival and patient survivorship in lung transplant recipients.Archives of orthopaedic and trauma surgery · 2025Article
- The mononuclear phagocyte system obscures the accurate diagnosis of infected joint replacements.Journal of translational medicine · 2024Article
- Hip, knee, and shoulder arthroplasty in patients with a history of solid organ transplant: A review.Journal of orthopaedics · 2024Review
- Mortality rate after total knee arthroplasty or total hip arthroplasty in patients with a history of liver transplant.World journal of orthopedics · 2024Article
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Authors and funding
7 authors at 2 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
purposeSurvival after solid organ transplant (SOT) is improving, and demand for total joint arthroplasty (TJA) among SOT recipients is rising. Outcomes including revision, periprosthetic joint infection, and survivorship based on SOT type are variable. We sought to compare peri-operative complications, implant survivorship, and mortality for patients undergoing TJA following SOT.
methodsA retrospective review of the institutional database for primary TJA among SOT recipients from 2000 to 2020 was performed. Revisions, conversion TJA, and patients with multiple organ transplants were excluded. Patients were stratified by transplant organ. Transfusions, 90-day readmissions and emergency department (ED) visits, revisions, and mortality were compared using descriptive statistics and Cox proportional hazard ratios.
resultsA total of 119 total hip arthroplasties (THA) and 63 total knee arthroplasties (TKA) in SOT recipients were studied. Most common SOT was renal (39%), then lung (27%), liver (24%), and heart (10%). TKA postoperative transfusion rates varied by organ (p = 0.037; [heart 0%, liver 9.5%, renal 24.0%, lung 50.0%]). Implant survivorship was 95.6% at one year (95% CI 90.3-98.1) and 92.1% at four years (83.9-96.3). Mortality was 2.9% at one year (95% CI 1.1-7.4) and 23.2% at four years (95% CI 16.1-32.3). After adjusting for procedure, duration from transplant to TJA, age, and Elixhauser Index, lung recipients had higher mortality versus heart (RR 4.39 [95% CI 1.64-15.38]; p = 0.002), kidney (7.98 [3.04-24.61]; p < 0.001), and liver (7.98 [3.04-24.61; p < 0.001) patients.
conclusionTJA after SOT yields acceptable peri-operative outcomes and implant survivorship, but mortality risk is substantial, especially among lung transplant recipients.
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