Patient with RA on Remicade and in need of a knee transplant

Question  I am 57 and I have RA.  I am currently on the drugs remicade and methotrexate.. I need a total knee replacement I wanted to know how well other patients on these same drugs have done with a knee replacement
 
Answer  It is not really known. There may be an increased risk of infection post-op with patients on Remicade and thus it seems prudent to stop the drug prior to surgery. How long to stop is debatable and how great the risk is not known-- see a recent question I answered for the plan I use in my practice.

Last update: 03:35 PM Monday, April 9, 2007

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Alan Matsumoto, M.D.

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