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Perioperative Management of the Rheumatoid Patient

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Wolfe J1, Wolfe J1, Visser HJ2. Clin Podiatr Med Surg. 2019 Jan;36(1):115-130. doi: 10.1016/j.cpm.2018.08.005. Epub 2018 Oct 25.

Abstract

Author information 1 Foot and Ankle Surgery Residency, SSM Health DePaul Hospital, 12303 DePaul Drive, Suite B1, St Louis, MO 63044, USA. 2 Foot and Ankle Surgery Residency, SSM Health DePaul Hospital, 12303 DePaul Drive, Suite B1, St Louis, MO 63044, USA. Electronic address: tsarhjv@aol.com.

Abstract Rheumatoid arthritis is a complex disease state with multiple associated comorbidities. Perioperative evaluation of the rheumatoidpatient from a multidisciplinary approach is necessary to achieve favorable outcomes. A complete history and physical, laboratory, cervical, cardiovascular, pulmonary, and medication assessment before surgery should be performed. Educating the patient on potential complications, such as wound dehiscence, infection, and venous thromboembolism, as well as general postoperative expectations, is essential when evaluating the rheumatoid patient for surgery.