Outcomes of primary total joint arthroplasty after lung transplantation.

Journal Article (Journal Article)

Lung transplantation is increasingly common with improving survival rates. Post-transplant patients can be expected to seek total hip (THA) and knee arthroplasty (TKA) to improve their quality of life. Outcomes of 20 primary total joint arthroplasties (15 THA, 5 TKA) in 14 patients with lung transplantation were reviewed. Clinical follow-up time averaged 27.5 and 42.8 months for THA and TKA respectively. Arthroplasty indications included osteonecrosis, osteoarthritis, and fracture. All patients subjectively reported good or excellent outcomes with a final average Harris Hip Score of 88.7, Knee Society objective and functional score of 92.0. There were 4 minor and 1 major acute perioperative complications. 1 late TKA infection was successfully treated with two-stage revision. The mortality rate was 28.5% (4/14 patients) at an average 20.6 months following but unrelated to arthroplasty. Overall, total joint arthroplasty can be safely performed and provide good functional outcomes in lung transplant recipients.

Full Text

Duke Authors

Cited Authors

  • Ledford, CK; Watters, TS; Wellman, SS; Attarian, DE; Bolognesi, MP

Published Date

  • January 2014

Published In

Volume / Issue

  • 29 / 1

Start / End Page

  • 11 - 15

PubMed ID

  • 23642450

Electronic International Standard Serial Number (EISSN)

  • 1532-8406

Digital Object Identifier (DOI)

  • 10.1016/j.arth.2013.03.029


  • eng

Conference Location

  • United States