• Set Yourself Up For Success Webinar

    October 6, 2021 at 2 PM Eastern/11 AM Pacific
    SDN and Osmosis are teaming up to help you get set up for success this school year! We'll be covering study tips, healthy habits, and meeting mentors.

    Register Now!

  • Funniest Story on the Job Contest Starts Now!

    Contest starts now and ends September 27th. Winner will receive a special user banner and $10 Amazon Gift card!

    JOIN NOW
  • Site Updates Coming Next Week

    Site updates are coming next week on Monday, Wednesday, and Friday. Click the button below to learn more!

    LEARN MORE

Steroids and THA/TKA/TSA

clubdeac

Full Member
10+ Year Member
Aug 16, 2007
4,187
1,288
276
  1. Attending Physician
So now all the orthopod's here are telling patients they can't have a THA, TKA or total shoulder within 6 months of a steroid injection ANYWHERE in their body. Anyone else seeing this?! Is there some new stduy out there that I'm not aware of? Seems like overkill
 
About the Ads

melancholy

1K Member
15+ Year Member
Nov 20, 2000
1,713
66
281
California
  1. Attending Physician
There was an ortho study that got published this year on knee steroid injections before TKR and found no increased complication rates for infection for injections within 3 months prior to surgery. Not sure of what other literature out there says. Surgeons around me don't want any injecting of anything around the joint to be replaced for about 2-3 months prior. I have not heard anything about injections in other parts of the body. (i.e. shoulder injection or even trigger point injection with steroid).
 

Dr. Ice

Attending
15+ Year Member
Oct 10, 2003
679
255
316
  1. Attending Physician
There was an ortho study that got published this year on knee steroid injections before TKR and found no increased complication rates for infection for injections within 3 months prior to surgery. Not sure of what other literature out there says. Surgeons around me don't want any injecting of anything around the joint to be replaced for about 2-3 months prior. I have not heard anything about injections in other parts of the body. (i.e. shoulder injection or even trigger point injection with steroid).
This is correct. No joint replacement within 90 days of cs administration. No issue with visco or steroid in other parts of body
 
Last edited:

Tapspatellas

Full Member
10+ Year Member
Oct 12, 2009
293
66
256
  1. Attending Physician
Most of our ortho are 3 months for the joint, don't care about the other areas. Have one guy who doesn't care either way, and another who doesn't want steroids anywhere within 6 weeks, which seems a bit arbitrary.
 

Timeoutofmind

Full Member
7+ Year Member
Apr 6, 2013
812
377
216
Most of our ortho are 3 months for the joint, don't care about the other areas. Have one guy who doesn't care either way, and another who doesn't want steroids anywhere within 6 weeks, which seems a bit arbitrary.
What about ESIs before spine surgery... also 3 months?...they went over the data at SIS this year. Very conflicting and controversial.
 

nvrsumr

Member
15+ Year Member
Apr 26, 2002
2,120
658
316
na.com
  1. Attending Physician
There was an ortho study that got published this year on knee steroid injections before TKR and found no increased complication rates for infection for injections within 3 months prior to surgery. Not sure of what other literature out there says. Surgeons around me don't want any injecting of anything around the joint to be replaced for about 2-3 months prior. I have not heard anything about injections in other parts of the body. (i.e. shoulder injection or even trigger point injection with steroid).

Any chance you can post this article? Thanks!
 

melancholy

1K Member
15+ Year Member
Nov 20, 2000
1,713
66
281
California
  1. Attending Physician
Any chance you can post this article? Thanks!

Here's the article I was referring to:

Intra-Articular Knee Injections Before Total Knee Arthroplasty: Outcomes and Complication Rates. - PubMed - NCBI

I did run across another article I had forgotten about that came out earlier this year which was another review of the topic. They concluded that there was increased risk for infection or need for surgery for those w steroid injection within 6 months of TKR.

The John N. Insall Award: Do Intraarticular Injections Increase the Risk of Infection After TKA? - PubMed - NCBI


Source of data are different so make your own conclusions.




If anyone happens to be curious about rates of complications or infections for post-TKR knees that get periarticular steroid injections (if looking at other sources of residual pain), this is all I have ever found.

Results of peri-articular steroid injection in the treatment of chronic extra-articular pain after total knee arthroplasty. - PubMed - NCBI



The John N. Insall Award: Do Intraarticular Injections Increase the Risk of Infection After TKA? - PubMed - NCBI




Sent from my iPhone using SDN mobile
 
  • Like
Reactions: 1 user

Tapspatellas

Full Member
10+ Year Member
Oct 12, 2009
293
66
256
  1. Attending Physician
What about ESIs before spine surgery... also 3 months?...they went over the data at SIS this year. Very conflicting and controversial.

Yes I was hoping for a little more clear cut answer, but left it muddy. One of my surgeons sent me the latter article they discussed and asked if I had seen it, so they are paying attention. They still are not implementing anything related to it, but I can't say that won't change.
 
About the Ads
This thread is more than 4 years old.

Your message may be considered spam for the following reasons:

  1. Your new thread title is very short, and likely is unhelpful.
  2. Your reply is very short and likely does not add anything to the thread.
  3. Your reply is very long and likely does not add anything to the thread.
  4. It is very likely that it does not need any further discussion and thus bumping it serves no purpose.
  5. Your message is mostly quotes or spoilers.
  6. Your reply has occurred very quickly after a previous reply and likely does not add anything to the thread.
  7. This thread is locked.