Reducing Risk in Total Joint Arthroplasty: Immunocompromised Patients

Immunodeficiency limits the body’s natural ability to fight infection, thus increasing the patient’s risk of postoperative complications. Moreover, rates of immunosuppression in the United States are on a steady climb secondary to the duality of greater life expectancy of the immunosuppressed and expanding indications for immunosuppressant use. Taken together, these 2 factors foreshadow the growing challenge orthopedic surgeons will face, as higher rates of immunocompromised patients will inevitably present for procedures in the decade ahead. These patients present with the 3-fold effect of a weakened ability to heal, fight infections, and maintain homeostasis. In the surgeon’s armamentarium must be a thorough understanding of the mechanisms behind the immunocompromised state, the complications to remain vigilant of, and the consequences of failure. The surgeon should seek assistance from other specialists early and make sure the patient is informed of elevated risks before proceeding. Further research is needed to optimize the care of this patient population.
Source: Techniques in Orthopaedics - Category: Orthopaedics Tags: Symposium Source Type: research