RESEARCH ARTICLE


Joint Arthroplasties other than the Hip in Solid Organ Transplant Recipients



Arkan S Sayed-Noor*
Department of Orthopaedic Surgery, Sundsvall Hospital, S-851 86 Sundsvall, Sweden


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Creative Commons License
© Arkan S. Sayed-Noor; Licensee Bentham Open.

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

* Address correspondence to this author at the Department of Orthopaedic Surgery, Sundsvall Hospital, S-851 86 Sundsvall, Sweden; Tel: +46 379 688 466; Fax: +46 60 181751; E-mail: arkansam@yahoo.com


Abstract

Transplantation Surgery has undergone a great development during the last thirty years and the survival of solid organ recipients has increased dramatically. Osteo-articular diseases such as osteoporosis, fractures, avascular bone necrosis and osteoarthritis are relatively common in these patients and joint arthroplasty may be required. The outcome of hip arthroplasty in patients with osteonecrosis of the femoral head after renal transplantation has been studied and documented by many researchers. However, the results of joint arthroplasties other than the hip in solid organs recipients were only infrequently reported in the literature. A systematic review of the English literature was conducted in order to investigate the outcome of joint arthroplasties other than the hip in kidney, liver or heart transplant recipients. Nine pertinent articles including 51 knee arthroplasties, 8 shoulder arthroplasties and 1 ankle arthroplasty were found. These articles reported well to excellent results with a complication rate and spectrum comparable with those reported in nontransplant patients.

Keywords: Joint arthroplasty, solid organ transplant, immunosuppression, outcome, complication.