TY - JOUR
T1 - Operative risk of total hip and knee arthroplasty in cirrhotic patients
AU - Cohen, Stanley Martin
AU - Te, Helen S.
AU - Levitsky, Josh
PY - 2005/6
Y1 - 2005/6
N2 - Limited data exist on the safety of primary total hip arthroplasty (THA) and total knee arthroplasty (TKA) in cirrhotic patients. We retrospectively reviewed outcomes of these procedures in cirrhotic patients and matched controls. Significant adverse outcomes occurred in 20.7% (6 of 29) of cirrhotic patients compared with 3.23% (3 of 93) of controls. No significant differences were seen between the groups for elective TKA or THA. However, 80% (4 of 5) of the cirrhotic patients undergoing emergent THA secondary to fracture had major complications, with a 60% (3 of 5) mortality rate. There was a trend toward worse overall outcome in cirrhotic patients with more advanced liver disease. In conclusion, primary THA or TKA can be safely performed electively in Child's A and B cirrhotic patients. However, emergent THA to repair fractures in cirrhotic patients is associated with significantly increased morbidity and mortality.
AB - Limited data exist on the safety of primary total hip arthroplasty (THA) and total knee arthroplasty (TKA) in cirrhotic patients. We retrospectively reviewed outcomes of these procedures in cirrhotic patients and matched controls. Significant adverse outcomes occurred in 20.7% (6 of 29) of cirrhotic patients compared with 3.23% (3 of 93) of controls. No significant differences were seen between the groups for elective TKA or THA. However, 80% (4 of 5) of the cirrhotic patients undergoing emergent THA secondary to fracture had major complications, with a 60% (3 of 5) mortality rate. There was a trend toward worse overall outcome in cirrhotic patients with more advanced liver disease. In conclusion, primary THA or TKA can be safely performed electively in Child's A and B cirrhotic patients. However, emergent THA to repair fractures in cirrhotic patients is associated with significantly increased morbidity and mortality.
KW - Child-Pugh score
KW - Cirrhosis
KW - Total hip arthroplasty
KW - Total knee arthroplasty
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U2 - 10.1016/j.arth.2004.05.004
DO - 10.1016/j.arth.2004.05.004
M3 - Article
C2 - 16124961
AN - SCOPUS:20444379309
SN - 0883-5403
VL - 20
SP - 460
EP - 466
JO - Journal of Arthroplasty
JF - Journal of Arthroplasty
IS - 4
ER -