There are no official guidelines to assist in answering this question. I will search for relevant research papers instead.
From the Research
Pre-Existing Dermatitis and Total Knee Replacement Surgery
- The decision to proceed with total knee replacement (TKR) surgery may be affected by pre-existing dermatitis, as certain dermatological conditions can increase the risk of post-operative complications 1.
- Studies have shown that patients with psoriasis, a chronic inflammatory skin condition, are at a higher risk of developing deep surgical site infections (SSIs) and wound complications after TKR surgery 1.
- Other forms of dermatitis, such as allergic contact dermatitis, can also occur after TKR surgery, particularly in response to metal ions released from implants or topical therapies 2, 3.
- However, the presence of pre-existing dermatitis does not necessarily preclude patients from undergoing TKR surgery, and individual cases should be evaluated on a case-by-case basis.
Specific Dermatological Conditions and TKR Surgery
- Psoriasis: associated with an increased risk of deep SSIs and wound complications after TKR surgery 1.
- Allergic contact dermatitis: can occur in response to metal ions released from implants or topical therapies, and may require revision surgery in severe cases 2, 3.
- Traumatic eczematous dermatitis (SKINTED): a rare complication of TKR surgery, characterized by eczematous lesions around the surgical incision site, and can be treated with topical corticosteroids and emollients 4, 5.
Implications for Clinical Practice
- Patients with pre-existing dermatitis should be carefully evaluated and counseled before undergoing TKR surgery, to assess their individual risk of post-operative complications 1.
- Surgeons and dermatologists should be aware of the potential for dermatological complications after TKR surgery, and work together to diagnose and manage these conditions effectively 4, 5.