Arthroplasty in organ transplant patients.
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The number of solid organ transplants performed in the United States continues to increase annually as does survival after transplant. These unique patients are increasingly likely to present to arthroplasty surgeons for elective hip or knee replacement secondary to a vascular necrosis from chronic immunosuppression, or even age-related development of osteoarthritis. Transplant recipients have a well-documented increased risk of complications but also excellent pain relief and dramatic improvement in quality of life. A multidisciplinary approach with the assistance of the medical transplant services for risk stratification and perioperative medical optimization is necessary. Prior solid organ transplant is not a contraindication to surgery; however, it is the responsibility of the surgeon to educate patients about the relative risks and benefits of prior to surgery.
Published Version (Please cite this version)10.1016/j.artd.2015.04.002
Publication InfoBolognesi, Michael Paul; Ledford, C; Nickel, Brian Thomas; Watters, T; & Wellman, Samuel S (2015). Arthroplasty in organ transplant patients. Arthroplast Today, 1(2). pp. 41-44. 10.1016/j.artd.2015.04.002. Retrieved from http://hdl.handle.net/10161/15819.
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Professor of Orthopaedic Surgery
As chief of the adult reconstruction service, the majority of my research effort has been directed toward clinical outcomes, implant survivorship, functional recovery, the biology of hip and knee arthritis and cost effectiveness.
Associate Professor of Orthopaedic Surgery
My career has primarily focused on clinical care of hip and knee arthritis. I run a busy Adult Reconstruction (hip and knee replacement) practice. I am also Chief of the Orthopedic Surgery service at the Durham VA medical center. In these roles, I work daily with orthopedic residents, and train them to manage these issues both non-operatively and with surgery. I also mentor residents, fellows,and medical students on their research projects, typically in collabora
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