Perioperative implications of end-stage renal disease in orthopaedic surgery

Julian O. Carlo, Phinit Phisitkul, Kantima Phisitkul, Sundara Reddy, Annunziato Amendola

Research output: Contribution to journalReview articlepeer-review

14 Scopus citations

Abstract

End-stage renal disease is a prevalent condition that substantially impacts a patient's quality of life. As medical advancements improve function and rates of survival, the number of persons with end-stage renal disease will grow, with orthopaedic surgeons increasingly encountering patients with the disease in their practice. End-stage renal disease is a complex medical condition that is often associated with multiple medical comorbidities. Orthopaedic surgery in patients with this disease is associated with at least a twofold risk of complications and mortality compared with a population without end-stage renal disease. Patients are at an increased risk for cardiovascular, metabolic, hematologic, and infectious complications. Orthopaedic surgeons should be familiar with pertinent issues in the preoperative evaluation and the postoperative management of these patients and should understand the risks of surgery to better inform patients and family. Careful coordination with consulting specialists is necessary to minimize morbidity and improve outcome.

Original languageEnglish (US)
Pages (from-to)107-118
Number of pages12
JournalJournal of the American Academy of Orthopaedic Surgeons
Volume23
Issue number2
DOIs
StatePublished - Feb 6 2015
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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