Background Surgical treatment of patients with rheumatoid arthritis (RA) associated with increased risk of complications. It is caused presence of an inflammatory process, osteoporosis, the reduced physical activity, the severity of functional impairment, long-term glucocorticoid therapy, biologic and disease-modifying antirheumatic drugs. All this contributes to increase the risk of perioperative complications, including non-infectious complications of surgical wounds.
Objectives To conduct a comparative analysis of local non-infectious complications of surgical wounds (delayed wound healing, marginal necrosis, wound dehiscence) after total hip and knee arthroplasty in patients with RA and osteoarthritis (OA).
Methods In the period from 1998 to 2013 in patients with RA and OA was performed 1605 operations of hip replacement surgery (RA - 385, OA - 482) and knee replacement surgery (RA - 527, OA - 211).
Results There were 29 (1.81%) local non-infectious complications of wounds.
After hip arthroplasty local non-infectious complications of wounds developed in 7 (0,44%) patients, all diagnosed with RA.
Local non-infectious complications of the wound after knee arthroplasty was 22 complications, from them - 17 (1.06%) in patients with RA; 5 (0.31%) in patients with OA.
Revealed a significantly greater number of local non-infectious complications of surgical wounds after hip and knee arthroplasty in patients with RA (p<0,005).
Conclusions The results confirm that the surgical treatment of patients with RA, requires a specific approach, which consists in a competent medication administered to the patient with rheumatologist and careful treatment of the bone and surrounding tissues during surgery.
Disclosure of Interest None declared
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