
Outcomes of primary total joint arthroplasty after lung transplantation.
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.
Duke Scholars
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- Treatment Outcome
- Retrospective Studies
- Orthopedics
- Middle Aged
- Male
- Lung Transplantation
- Lung Diseases
- Joint Diseases
- Immunosuppressive Agents
- Humans
Citation

Published In
DOI
EISSN
Publication Date
Volume
Issue
Start / End Page
Location
Related Subject Headings
- Treatment Outcome
- Retrospective Studies
- Orthopedics
- Middle Aged
- Male
- Lung Transplantation
- Lung Diseases
- Joint Diseases
- Immunosuppressive Agents
- Humans