Considerations for People with Intellectual and Developmental Disabilities Needing Total Joint Replacements

Document Type

Poster Presentation

Publication Date

4-17-2026

Keywords

fsc2026

Abstract

People with intellectual and developmental disabilities (IDD) are living longer and experiencing the effects of aging and co-existing conditions in addition to their disabilities, often resulting in health disparities among this population. These health disparities can be improved when nurses are better prepared to meet the unique and potentially complex needs of this population. Orthopedic nurses need to be aware that the musculoskeletal conditions in many children and young adults with IDD can contribute to the development or exacerbation of other musculoskeletal conditions associated with aging, such as osteoporosis and osteoarthritis. In particular, people with IDD exhibit osteoarthritis (OA) at higher rates and earlier onsets than people without IDD. OA frequently leads to total joint arthroplasties (TJAs) in the general population; rates of TJAs are projected to increase significantly in the general population over the next 20 years, yet little is known about the rates of TJAs among adults with IDD. Given their increasing lifespan and incidence of OA, it is expected that there will also be a higher need for TJAs among people with IDD. People with IDD undergoing TJAs have a greater risk of postoperative complications and adverse events compared to people without IDD. Orthopedic nurses can help to reduce risk and improve outcomes for people with IDD by making reasonable adjustments to care.

Comments

Poster presented at the 2026 Fisher Showcase, St. John Fisher University, April 17, 2026.

Also presented at Eastern Nursing Research Society conference in March 2026

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