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Perioperative Care of the Orthopedic Patient pp 113–124Cite as

Perioperative Care of the Orthopedic Patient with Connective Tissue Disease

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Abstract

Patients with connective tissue diseases and inflammatory arthritis frequently require orthopedic surgery in the setting of poorly responsive inflammatory arthritis. Multisystem involvement in these patients frequently includes cardiopulmonary disease that requires identification and investigation preoperatively. Results of surgery are gratifying specifically with respect to pain relief but functional improvements may lag behind patients with osteoarthritis undergoing the same procedures. Careful collaboration between surgeons, anesthesiologists, and rheumatologists is fundamental in order to optimize outcome.

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References

  1. Urban MK, Jules-Elysee K, Loughlin C, Kelsey W, Flynn E. The one year incidence of postoperative myocardial infarction in an orthopedic population. HSS J. 2008;4(1):76–80.

    CAS  PubMed Central  PubMed  Google Scholar 

  2. Pincus T, Sokka T, Kautiainen H. Patients seen for standard rheumatoid arthritis care have significantly better articular, radiographic, laboratory, and functional status in 2000 than in 1985. Arthritis Rheum. 2005;52(4):1009–19.

    PubMed  Google Scholar 

  3. Massardo L, Gabriel SE, Crowson CS, O’Fallon WM, Matteson EL. A population based assessment of the use of orthopedic surgery in patients with rheumatoid arthritis. J Rheumatol. 2002;29(1):52–6.

    PubMed  Google Scholar 

  4. Wolfe F, Zwillich SH. The long-term outcomes of rheumatoid arthritis: a 23-year prospective, longitudinal study of total joint replacement and its predictors in 1,600 patients with rheumatoid arthritis. Arthritis Rheum. 1998;41(6):1072–82.

    CAS  PubMed  Google Scholar 

  5. Weiss RJ, Ehlin A, Montgomery SM, Wick MC, Stark A, Wretenberg P. Decrease of RA-related orthopaedic surgery of the upper limbs between 1998 and 2004: data from 54,579 Swedish RA inpatients. Rheumatology (Oxford). 2008;47(4):491–4.

    CAS  Google Scholar 

  6. Weiss RJ, Stark A, Wick MC, Ehlin A, Palmblad K, Wretenberg P. Orthopaedic surgery of the lower limbs in 49,802 rheumatoid arthritis patients: results from the Swedish National Inpatient Registry during 1987 to 2001. Ann Rheum Dis. 2006;65(3):335–41.

    CAS  PubMed Central  PubMed  Google Scholar 

  7. FleisherLA B, Brown KA, et al. ACC/AHA 2007 guidelines on perioperative cardiovascular evaluation and care for noncardiac surgery: a report of the American College of Cardiology/American Heart Association Task Force on practice guidelines. J Am Coll Cardiol. 2007;50:159–242.

    Google Scholar 

  8. Domsic RT, Lingala B, Krishnan E. Systemic lupus erythematosus, rheumatoid arthritis, and postarthroplasty mortality: a cross-sectional analysis from the nationwide inpatient sample. J Rheumatol. 2010;37(7):1467–72.

    PubMed  Google Scholar 

  9. Salmon JE, Roman MJ. Subclinical atherosclerosis in rheumatoid arthritis and systemic lupus erythematosus. Am J Med. 2008;121(10 Suppl 1):S3–8.

    PubMed Central  PubMed  Google Scholar 

  10. Roman MJ, Shanker BA, Davis A, et al. Prevalence and correlates of accelerated atherosclerosis in systemic lupus erythematosus. N Engl J Med. 2003;349(25):2399–406.

    CAS  PubMed  Google Scholar 

  11. Mathieu S, Gossec L, Dougados M, Soubrier M. Cardiovascular profile in ankylosing spondylitis. A systematic review and metaanalysis. Arthritis Care Res (Hoboken). 2011;63(4):557–63.

    Google Scholar 

  12. McCarey D, Sturrock RD. Comparison of cardiovascular risk in ankylosing spondylitis and rheumatoid arthritis. Clin Exp Rheumatol. 2009;27(4 Suppl 55):S124–6.

    CAS  PubMed  Google Scholar 

  13. Gladman DD. Mortality in psoriatic arthritis. Clin Exp Rheumatol. 2008;26(5 Suppl 51):S62–5.

    CAS  PubMed  Google Scholar 

  14. Gladman DD, Ang M, Su L, Tom BD, Schentag CT, Farewell VT. Cardiovascular morbidity in psoriatic arthritis. Ann Rheum Dis. 2009;68(7):1131–5.

    CAS  PubMed  Google Scholar 

  15. Greenberg JD, Kremer JM, Curtis JR, et al. Tumour necrosis factor antagonist use and associated risk reduction of cardiovascular events among patients with rheumatoid arthritis. Ann Rheum Dis. 2011;70(4):576–82.

    PubMed  Google Scholar 

  16. Naranjo A, Sokka T, Descalzo MA, et al. Cardiovascular disease in patients with rheumatoid arthritis: results from the QUEST-RA study. Arthritis Res Ther. 2008;10(2):R30.

    PubMed Central  PubMed  Google Scholar 

  17. van Eijk IC, de Vries MK, Levels JH, et al. Improvement of lipid profile is accompanied by atheroprotective alterations in high-density lipoprotein composition upon tumor necrosis factor blockade: a prospective cohort study in ankylosing spondylitis. Arthritis Rheum. 2009;60(5):1324–30.

    PubMed  Google Scholar 

  18. Calderaro DC, Ferreira GA. Presentation and prognosis of shrinking lung syndrome in systemic lupus erythematosus: report of four cases. Rheumatol Int. 2012;32(5):1391–6.

    PubMed  Google Scholar 

  19. Bilgici A, Ulusoy H, Kuru O, Celenk C, Unsal M, Danaci M. Pulmonary involvement in rheumatoid arthritis. Rheumatol Int. 2005;25(6):429–35.

    PubMed  Google Scholar 

  20. Wolfe F, Caplan L, Michaud K. Rheumatoid arthritis treatment and the risk of severe interstitial lung disease. Scand J Rheumatol. 2007;36(3):172–8.

    CAS  PubMed  Google Scholar 

  21. Pappas DA, Giles JT, Connors G, Lechtzin N, Bathon JM, Danoff SK. Respiratory symptoms and disease characteristics as predictors of pulmonary function abnormalities in patients with rheumatoid arthritis: an observational cohort study. Arthritis Res Ther. 2010;12(3):R104.

    PubMed Central  PubMed  Google Scholar 

  22. Kolman J, Morris I. Cricoarytenoid arthritis: a cause of acute upper airway obstruction in rheumatoid arthritis. Can J Anaesth. 2002;49(7):729–32.

    PubMed  Google Scholar 

  23. Segebarth PB, Limbird TJ. Perioperative acute upper airway obstruction secondary to severe rheumatoid arthritis. J Arthroplasty. 2007;22(6):916–9.

    PubMed  Google Scholar 

  24. Fabian TC, Hoots AV, Stanford DS, Patterson CR, Mangiante EC. Fat embolism syndrome: prospective evaluation in 92 fracture patients. Crit Care Med. 1990;18(1):42–6.

    CAS  PubMed  Google Scholar 

  25. Kauppi M, Neva MH. Sensitivity of lateral view cervical spine radiographs taken in the neutral position in atlantoaxial subluxation in rheumatic diseases. Clin Rheumatol. 1998;17(6):511–4.

    CAS  PubMed  Google Scholar 

  26. Ramakrishna G, Sprung J, Ravi BS, Chandrasekaran K, McGoon MD. Impact of pulmonary hypertension on the outcomes of noncardiac surgery: predictors of perioperative morbidity and mortality. J Am Coll Cardiol. 2005;45(10):1691–9.

    PubMed  Google Scholar 

  27. Aveline C, Leroux A, Vautier P, Cognet F, Le Hetet H, Bonnet F. Risk factors for renal dysfunction after total hip arthroplasty. Ann Fr Anesth Reanim. 2009;28(9):728–34.

    CAS  PubMed  Google Scholar 

  28. Gladman DD, Urowitz MB, Chaudhry-Ahluwalia V, Hallet DC, Cook RJ. Predictive factors for symptomatic osteonecrosis in patients with systemic lupus erythematosus. J Rheumatol. 2001;28(4):761–5.

    CAS  PubMed  Google Scholar 

  29. Mourao AF, Amaral M, Caetano-Lopes J, Isenberg D. An analysis of joint replacement in patients with systemic lupus erythematosus. Lupus. 2009;18(14):1298–302.

    CAS  PubMed  Google Scholar 

  30. White SM, Rashid N, Chakladar A. An analysis of renal dysfunction in 1511 patients with fractured neck of femur: the implications for peri-operative analgesia. Anaesthesia. 2009;64(10):1061–5.

    CAS  PubMed  Google Scholar 

  31. Scanzello CR, Figgie MP, Nestor BJ, Goodman SM. Perioperative management of medications used in the treatment of rheumatoid arthritis. HSS J. 2006;2(2):141–7.

    PubMed Central  PubMed  Google Scholar 

  32. Kapetanovic MC, Lindqvist E, Saxne T, Eberhardt K. Orthopaedic surgery in patients with rheumatoid arthritis over 20 years: prevalence and predictive factors of large joint replacement. Ann Rheum Dis. 2008;67(10):1412–6.

    CAS  PubMed  Google Scholar 

  33. Hyrich KL, Lunt M, Dixon WG, Watson KD, Symmons DP, BSR Biologics Register. Effects of switching between anti-TNF therapies on HAQ response in patients who do not respond to their first anti-TNF drug. Rheumatology (Oxford). 2008;47(7):1000–5.

    CAS  Google Scholar 

  34. SooHoo NF, Lieberman JR, Ko CY, Zingmond DS. Factors predicting complication rates following total knee replacement. J Bone Joint Surg Am. 2006;88(3):480–5.

    PubMed  Google Scholar 

  35. Parvizi J, Mui A, Purtill JJ, Sharkey PF, Hozack WJ, Rothman RH. Total joint arthroplasty: when do fatal or near-fatal complications occur? J Bone Joint Surg Am. 2007;89(1):27–32.

    PubMed  Google Scholar 

  36. Roman MJ, Devereux RB, Schwartz JE, et al. Arterial stiffness in chronic inflammatory diseases. Hypertension. 2005;46(1):194–9.

    CAS  PubMed  Google Scholar 

  37. Devereaux PJ, Xavier D, Pogue J, et al. Characteristics and short-term prognosis of perioperative myocardial infarction in patients undergoing noncardiac surgery: a cohort study. Ann Intern Med. 2011;154(8):523–8.

    CAS  PubMed  Google Scholar 

  38. Bongartz T, Nannini C, Medina-Velasquez YF, et al. Incidence and mortality of interstitial lung disease in rheumatoid arthritis: a population-based study. Arthritis Rheum. 2010;62(6):1583–91.

    PubMed Central  PubMed  Google Scholar 

  39. Smetana GW, Lawrence VA, Cornell JE, American College of Physicians. Preoperative pulmonary risk stratification for noncardiothoracic surgery: systematic review for the American College of Physicians. Ann Intern Med. 2006;144(8):581–95.

    PubMed  Google Scholar 

  40. Kauppi M, Laiho K, Neva M. Diagnosing atlantoaxial impaction and basilar invagination. J Bone Joint Surg Am. 2002;84-A(3):491–2.

    PubMed  Google Scholar 

  41. Neva MH, Isomaki P, Hannonen P, Kauppi M, Krishnan E, Sokka T. Early and extensive erosiveness in peripheral joints predicts atlantoaxial subluxations in patients with rheumatoid arthritis. Arthritis Rheum. 2003;48(7):1808–13.

    PubMed  Google Scholar 

  42. Neva MH, Hakkinen A, Makinen H, Hannonen P, Kauppi M, Sokka T. High prevalence of asymptomatic cervical spine subluxation in patients with rheumatoid arthritis waiting for orthopaedic surgery. Ann Rheum Dis. 2006;65(7):884–8.

    CAS  PubMed Central  PubMed  Google Scholar 

  43. Wolfs JF, Kloppenburg M, Fehlings MG, van Tulder MW, Boers M, Peul WC. Neurologic outcome of surgical and conservative treatment of rheumatoid cervical spine subluxation: a systematic review. Arthritis Rheum. 2009;61(12):1743–52.

    PubMed  Google Scholar 

  44. Sanja MR, Mirjana ZS. Ultrasonographic study of the painful shoulder in patients with rheumatoid arthritis and patients with degenerative shoulder disease. Acta Reumatol Port. 2010;35(1):50–8.

    PubMed  Google Scholar 

  45. Betts HM, Abu-Rajab R, Nunn T, Brooksbank AJ. Total shoulder replacement in rheumatoid disease: a 16- to 23-year follow-up. J Bone Joint Surg Br. 2009;91(9):1197–200.

    CAS  PubMed  Google Scholar 

  46. Rozing PM, Nagels J, Rozing MP. Prognostic factors in arthroplasty in the rheumatoid shoulder. HSS J. 2011;7(1):29–36.

    PubMed Central  PubMed  Google Scholar 

  47. Hambright D, Henderson RA, Cook C, Worrell T, Moorman CT, Bolognesi MP. A comparison of perioperative outcomes in patients with and without rheumatoid arthritis after receiving a total shoulder replacement arthroplasty. J Shoulder Elbow Surg. 2011;20(1):77–85.

    PubMed  Google Scholar 

  48. Osnes-Ringen H, Kvien TK, Henriksen JE, Mowinckel P, Dagfinrud H. Orthopaedic surgery in 255 patients with inflammatory arthropathies: longitudinal effects on pain, physical function and health-related quality of life. Ann Rheum Dis. 2009;68(10):1596–601.

    CAS  PubMed  Google Scholar 

  49. Rud-Sorensen C, Pedersen AB, Johnsen SP, Riis AH, Overgaard S. Survival of primary total hip arthroplasty in rheumatoid arthritis patients. Acta Orthop. 2010;81(1):60–5.

    PubMed Central  PubMed  Google Scholar 

  50. Bullens PH, van Loon CJ, de Waal Malefijt MC, Laan RF, Veth RP. Patient satisfaction after total knee arthroplasty: a comparison between subjective and objective outcome assessments. J Arthroplasty. 2001;16(6):740–7.

    CAS  PubMed  Google Scholar 

  51. Oinuma K, Harada Y, Nawata Y, et al. Osteonecrosis in patients with systemic lupus erythematosus develops very early after starting high dose corticosteroid treatment. Ann Rheum Dis. 2001;60(12):1145–8.

    CAS  PubMed Central  PubMed  Google Scholar 

  52. Gladman DD, Chaudhry-Ahluwalia V, Ibanez D, Bogoch E, Urowitz MB. Outcomes of symptomatic osteonecrosis in 95 patients with systemic lupus erythematosus. J Rheumatol. 2001;28(10):2226–9.

    CAS  PubMed  Google Scholar 

  53. Prasad R, Ibanez D, Gladman D, Urowitz M. The role of non-corticosteroid related factors in osteonecrosis (ON) in systemic lupus erythematosus: a nested case–control study of inception patients. Lupus. 2007;16(3):157–62.

    CAS  PubMed  Google Scholar 

  54. Agarwala S, Jain D, Joshi VR, Sule A. Efficacy of alendronate, a bisphosphonate, in the treatment of AVN of the hip. A prospective open-label study. Rheumatology (Oxford). 2005;44(3):352–9.

    CAS  Google Scholar 

  55. Sun Y, Zhang CQ, Chen SB, Sheng JG, Jin DX, Zeng BF. Treatment of femoral head osteonecrosis in patients with systemic lupus erythematosus by free vascularised fibular grafting. Lupus. 2009;18(12):1061–5.

    CAS  PubMed  Google Scholar 

  56. Chen YW, Chang JK, Huang KY, Lin GT, Lin SY, Huang CY. Hip arthroplasty for osteonecrosis in patients with systemic lupus erythematosus. Kaohsiung J Med Sci. 1999;15(12):697–703.

    CAS  PubMed  Google Scholar 

  57. Salmon JE, Roman MJ. Accelerated atherosclerosis in systemic lupus erythematosus: implications for patient management. Curr Opin Rheumatol. 2001;13(5):341–4.

    CAS  PubMed  Google Scholar 

  58. Bennet SJ, Berry OM, Goddard J, et al. Acute renal dysfunction following hip fracture. Injury. 2010;41(4):335–8.

    PubMed  Google Scholar 

  59. Arora P, Rajagopalam S, Ranjan R, et al. Preoperative use of angiotensin-converting enzyme inhibitors/angiotensin receptor blockers is associated with increased risk for acute kidney injury after cardiovascular surgery. Clin J Am Soc Nephrol. 2008;3(5):1266–73.

    PubMed Central  PubMed  Google Scholar 

  60. Erkan D, Lockshin MD. Antiphospholipid syndrome. Curr Opin Rheumatol. 2006;18(3):242–8.

    CAS  PubMed  Google Scholar 

  61. Erkan D, Leibowitz E, Berman J, Lockshin MD. Perioperative medical management of antiphospholipid syndrome: hospital for special surgery experience, review of literature, and recommendations. J Rheumatol. 2002;29(4):843–9.

    PubMed  Google Scholar 

  62. Kreikemeier J, Tobias JD. Antiphospholipid antibody syndrome manifested as a postoperative cerebrovascular event in a child. South Med J. 2000;93(11):1115–9.

    CAS  PubMed  Google Scholar 

  63. Johannson HR, Zywiel MG, Marker DR, Jones LC, McGrath MS, Mont MA. Osteonecrosis is not a predictor of poor outcomes in primary total hip arthroplasty: a systematic literature review. Int Orthop. 2011;35(4):465–73.

    PubMed Central  PubMed  Google Scholar 

  64. Mont MA, Glueck CJ, Pacheco IH, Wang P, Hungerford DS, Petri M. Risk factors for osteonecrosis in systemic lupus erythematosus. J Rheumatol. 1997;24(4):654–62.

    CAS  PubMed  Google Scholar 

  65. Huo MH, Salvati EA, Browne MG, Pellicci PM, Sculco TP, Johanson NA. Primary total hip arthroplasty in systemic lupus erythematosus. J Arthroplasty. 1992;7(1):51–6.

    CAS  PubMed  Google Scholar 

  66. Ito H, Matsuno T, Hirayama T, Tanino H, Minami A. Health-related quality of life in patients with systemic lupus erythematosus after medium to long-term follow-up of hip arthroplasty. Lupus. 2007;16(5):318–23.

    CAS  PubMed  Google Scholar 

  67. Zochling J, van der Heijde D, Burgos-Vargas R, et al. ASAS/EULAR recommendations for the management of ankylosing spondylitis. Ann Rheum Dis. 2006;65(4):442–52.

    CAS  PubMed Central  PubMed  Google Scholar 

  68. Chen HA, Chen CH, Liao HT, et al. Factors associated with radiographic spinal involvement and hip involvement in ankylosing spondylitis. Semin Arthritis Rheum. 2011;40(6):552–8.

    PubMed  Google Scholar 

  69. Sochart DH, Porter ML. Long-term results of total hip replacement in young patients who had ankylosing spondylitis. Eighteen to thirty-year results with survivorship analysis. J Bone Joint Surg Am. 1997;79(8):1181–9.

    CAS  PubMed  Google Scholar 

  70. Sweeney S, Gupta R, Taylor G, Calin A. Total hip arthroplasty in ankylosing spondylitis: outcome in 340 patients. J Rheumatol. 2001;28(8):1862–6.

    CAS  PubMed  Google Scholar 

  71. Parvizi J, Duffy GP, Trousdale RT. Total knee arthroplasty in patients with ankylosing spondylitis. J Bone Joint Surg Am. 2001;83-A(9):1312–6.

    CAS  PubMed  Google Scholar 

  72. van Royen BJ, de Kleuver M, Slot GH. Polysegmental lumbar posterior wedge osteotomies for correction of kyphosis in ankylosing spondylitis. Eur Spine J. 1998;7(2):104–10.

    PubMed Central  PubMed  Google Scholar 

  73. Vosse D, Landewe R, van der Heijde D, van der Linden S, van Staa TP, Geusens P. Ankylosing spondylitis and the risk of fracture: results from a large primary care-based nested case–control study. Ann Rheum Dis. 2009;68(12):1839–42.

    CAS  PubMed  Google Scholar 

  74. Westerveld LA, Verlaan JJ, Oner FC. Spinal fractures in patients with ankylosing spinal disorders: a systematic review of the literature on treatment, neurological status and complications. Eur Spine J. 2009;18(2):145–56.

    CAS  PubMed Central  PubMed  Google Scholar 

  75. Caron T, Bransford R, Nguyen Q, Agel J, Chapman J, Bellabarba C. Spine fractures in patients with ankylosing spinal disorders. Spine (Phila Pa 1976). 2010;35(11):E458–64.

    Google Scholar 

  76. Iorio R, Healy WL. Heterotopic ossification after hip and knee arthroplasty: risk factors, prevention, and treatment. J Am Acad Orthop Surg. 2002;10(6):409–16.

    PubMed  Google Scholar 

  77. Qaseem A, Snow V, Fitterman N, et al. Risk assessment for and strategies to reduce perioperative pulmonary complications for patients undergoing noncardiothoracic surgery: a guideline from the American College of Physicians. Ann Intern Med. 2006;144(8):575–80.

    PubMed  Google Scholar 

  78. Kanathur N, Lee-Chiong T. Pulmonary manifestations of ankylosing spondylitis. Clin Chest Med. 2010;31(3):547–54.

    PubMed  Google Scholar 

  79. Blouw EL, Rudolph AD, Narr BJ, Sarr MG. The frequency of respiratory failure in patients with morbid obesity undergoing gastric bypass. AANA J. 2003;71(1):45–50.

    PubMed  Google Scholar 

  80. Brunner F, Kunz A, Weber U, Kissling R. Ankylosing spondylitis and heart abnormalities: do cardiac conduction disorders, valve regurgitation and diastolic dysfunction occur more often in male patients with diagnosed ankylosing spondylitis for over 15 years than in the normal population? Clin Rheumatol. 2006;25(1):24–9.

    PubMed  Google Scholar 

  81. Yildirir A, Aksoyek S, Calguneri M, Oto A, Kes S. Echocardiographic evidence of cardiac involvement in ankylosing spondylitis. Clin Rheumatol. 2002;21(2):129–34.

    CAS  PubMed  Google Scholar 

  82. Dik VK, Peters MJ, Dijkmans PA, et al. The relationship between disease-related characteristics and conduction disturbances in ankylosing spondylitis. Scand J Rheumatol. 2010;39(1):38–41.

    CAS  PubMed  Google Scholar 

  83. Bremander A, Petersson IF, Bergman S, Englund M. Population-based estimates of common comorbidities and cardiovascular disease in ankylosing spondylitis. Arthritis Care Res (Hoboken). 2011;63(4):550–6.

    Google Scholar 

  84. Muntean L, Rojas-Vargas M, Font P, et al. Relative value of the lumbar spine and hip bone mineral density and bone turnover markers in men with ankylosing spondylitis. Clin Rheumatol. 2011;30(5):691–5.

    PubMed  Google Scholar 

  85. van der Weijden MA, van Denderen JC, Lems WF, Heymans MW, Dijkmans BA, van der Horst-Bruinsma IE. Low bone mineral density is related to male gender and decreased functional capacity in early spondylarthropathies. Clin Rheumatol. 2011;30(4):497–503.

    PubMed Central  PubMed  Google Scholar 

  86. Arends S, Spoorenberg A, Bruyn GA, et al. The relation between bone mineral density, bone turnover markers, and vitamin D status in ankylosing spondylitis patients with active disease: a cross-sectional analysis. Osteoporos Int. 2011;22(5):1431–9.

    CAS  PubMed Central  PubMed  Google Scholar 

  87. Gladman DD, Chandran V. Observational cohort studies: lessons learnt from the University of Toronto psoriatic arthritis program. Rheumatology (Oxford). 2011;50(1):25–31.

    Google Scholar 

  88. Gladman DD, Shuckett R, Russell ML, Thorne JC, Schachter RK. Psoriatic arthritis (PSA) – an analysis of 220 patients. Q J Med. 1987;62(238):127–41.

    CAS  PubMed  Google Scholar 

  89. Gladman DD, Mease PJ, Choy EH, Ritchlin CT, Perdok RJ, Sasso EH. Risk factors for radiographic progression in psoriatic arthritis: subanalysis of the randomized controlled trial ADEPT. Arthritis Res Ther. 2010;12(3):R113.

    PubMed Central  PubMed  Google Scholar 

  90. Michet CJ, Mason TG, Mazlumzadeh M. Hip joint disease in psoriatic arthritis: risk factors and natural history. Ann Rheum Dis. 2005;64(7):1068–70.

    CAS  PubMed Central  PubMed  Google Scholar 

  91. Buckley C, Cavill C, Taylor G, et al. Mortality in psoriatic arthritis – a single-center study from the UK. J Rheumatol. 2010;37(10):2141–4.

    PubMed  Google Scholar 

  92. Tobin AM, Veale DJ, Fitzgerald O, et al. Cardiovascular disease and risk factors in patients with psoriasis and psoriatic arthritis. J Rheumatol. 2010;37(7):1386–94.

    PubMed  Google Scholar 

  93. Stern SH, Insall JN, Windsor RE, Inglis AE, Dines DM. Total knee arthroplasty in patients with psoriasis. Clin Orthop Relat Res. 1989;248(248):108–10. discussion 111.

    PubMed  Google Scholar 

  94. Beyer CA, Hanssen AD, Lewallen DG, Pittelkow MR. Primary total knee arthroplasty in patients with psoriasis. J Bone Joint Surg Br. 1991;73(2):258–9.

    CAS  PubMed  Google Scholar 

  95. Zangger P, Esufali ZH, Gladman DD, Bogoch ER. Type and outcome of reconstructive surgery for different patterns of psoriatic arthritis. J Rheumatol. 2000;27(4):967–74.

    CAS  PubMed  Google Scholar 

  96. Bromberg JS, Alfrey EJ, Barker CF, et al. Adrenal suppression and steroid supplementation in renal transplant recipients. Transplantation. 1991;51(2):385–90.

    CAS  PubMed  Google Scholar 

  97. Glowniak JV, Loriaux DL. A double-blind study of perioperative steroid requirements in secondary adrenal insufficiency. Surgery. 1997;121(2):123–9.

    CAS  PubMed  Google Scholar 

  98. Leopold SS, Casnellie MT, Warme WJ, Dougherty PJ, Wingo ST, Shott S. Endogenous cortisol production in response to knee arthroscopy and total knee arthroplasty. J Bone Joint Surg Am. 2003;85-A(11):2163–7.

    PubMed  Google Scholar 

  99. Grennan DM, Gray J, Loudon J, Fear S. Methotrexate and early postoperative complications in patients with rheumatoid arthritis undergoing elective orthopaedic surgery. Ann Rheum Dis. 2001;60(3):214–7.

    CAS  PubMed Central  PubMed  Google Scholar 

  100. Bongartz T. Elective orthopedic surgery and perioperative DMARD management: many questions, fewer answers, and some opinions. J Rheumatol. 2007;34(4):653–5.

    PubMed  Google Scholar 

  101. Jenks KA, Stamp LK, O'Donnell JL, Savage RL, Chapman PT. Leflunomide-associated infections in rheumatoid arthritis. J Rheumatol. 2007;34(11):2201–3.

    CAS  PubMed  Google Scholar 

  102. Mushtaq S, Goodman SM, Scanzello CR. Perioperative management of biologic agents used in treatment of rheumatoid arthritis. Am J Ther. 2011;18(5):426–34.

    PubMed  Google Scholar 

  103. Bongartz T, Halligan CS, Osmon DR, et al. Incidence and risk factors of prosthetic joint infection after total hip or knee replacement in patients with rheumatoid arthritis. Arthritis Rheum. 2008;59(12):1713–20.

    PubMed Central  PubMed  Google Scholar 

  104. Galloway JB, Hyrich KL, Mercer LK, et al. Anti-TNF therapy is associated with an increased risk of serious infections in patients with rheumatoid arthritis especially in the first 6 months of treatment: updated results from the British Society for rheumatology biologics register with special emphasis on risks in the elderly. Rheumatology (Oxford). 2011;50(1):124–31.

    CAS  Google Scholar 

  105. Giles JT, Bartlett SJ, Gelber AC, et al. Tumor necrosis factor inhibitor therapy and risk of serious postoperative orthopedic infection in rheumatoid arthritis. Arthritis Rheum. 2006;55(2):333–7.

    PubMed  Google Scholar 

  106. Bongartz T, Sutton AJ, Sweeting MJ, Buchan I, Matteson EL, Montori V. Anti-TNF antibody therapy in rheumatoid arthritis and the risk of serious infections and malignancies: systematic review and meta-analysis of rare harmful effects in randomized controlled trials. JAMA. 2006;295(19):2275–85.

    CAS  PubMed  Google Scholar 

  107. den Broeder AA, Creemers MC, Fransen J, et al. Risk factors for surgical site infections and other complications in elective surgery in patients with rheumatoid arthritis with special attention for anti-tumor necrosis factor: a large retrospective study. J Rheumatol. 2007;34(4):689–95.

    Google Scholar 

  108. Dixon WG, Watson K, Lunt M, et al. Rates of serious infection, including site-specific and bacterial intracellular infection, in rheumatoid arthritis patients receiving anti-tumor necrosis factor therapy: results from the British Society for rheumatology biologics register. Arthritis Rheum. 2006;54(8):2368–76.

    CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Medicine, Weill Cornell Medical College, Hospital for Special Surgery, 535 E70th Street, New York, NY, 10021, USA

    Susan M. Goodman

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  1. Susan M. Goodman
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Correspondence to Susan M. Goodman .

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Editors and Affiliations

  1. Department of Medicine, Hospital for Special Surgery, New York, New York, USA

    C. Ronald MacKenzie

  2. Department of Orthopedic Surgery, Hospital for Special Surgery, New York, New York, USA

    Charles N. Cornell

  3. Department of Anesthesiology, Hospital for Special Surgery, New York, New York, USA

    Stavros G. Memtsoudis

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Goodman, S.M. (2014). Perioperative Care of the Orthopedic Patient with Connective Tissue Disease. In: MacKenzie, C., Cornell, C., Memtsoudis, S. (eds) Perioperative Care of the Orthopedic Patient. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-0100-1_10

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  • DOI: https://doi.org/10.1007/978-1-4614-0100-1_10

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  • Online ISBN: 978-1-4614-0100-1

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