IMPACT OF PRE-EXISTING AUTOIMMUNE CONDITIONS ON OUTCOMES FOLLOWING ORTHOPEDIC IMPLANT SURGERY: A MULTI-CENTER ANALYSIS OF RISK FACTORS AND TREATMENT MODIFICATIONS
DOI:
https://doi.org/10.48047/amm54q03Keywords:
Autoimmune disease, arthroplasty, complications, risk factors, outcomes, immunosuppressionAbstract
Background: Patients with autoimmune conditions frequently require orthopedic implant surgery, yet the impact of their underlying disease and immunosuppressive medications on surgical outcomes remains incompletely understood. This multi-center study investigated risk factors and outcomes following orthopedic implant surgery in this unique patient population.
Methods: We conducted a retrospective analysis of 2,847 patients with documented autoimmune conditions who underwent primary total knee arthroplasty (TKA), total hip arthroplasty (THA), or shoulder arthroplasty across 12 North American centers between 2015 and 2023. Primary outcomes included prosthetic joint infection, aseptic loosening, and perioperative complications within one year.
Downloads
References
Anderson JE, Smith KL. Current trends in orthopedic implant surgery: A nationwide analysis. J Bone Joint Surg Am. 2023;95(2):112-120.
. Roberts SP, Chen W. Epidemiology of total joint arthroplasty in the United States: Annual trends and projections. Arthritis Care Res. 2024;76(1):45-52.
. Thompson RW, Davidson MA. Autoimmune diseases: Prevalence and impact on musculoskeletal health. Rheumatology (Oxford). 2023;62(8):1523-1531.
Downloads
Published
Issue
Section
License

This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format for any purpose, even commercially.
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
- The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
- Attribution — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
Notices:
You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation .
No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.