OBJECTIVE: This study aims to analyze and visualize global research trends and hotspots in rheumatoid arthritis joint replacement over the past two decades using CiteSpace and VOSviewer software.The findings from this bibliometric analysis will inform and guide future research directions in this field. METHODS: We searched for relevant literature on rheumatoid arthritis joint replacement from January 2005 to August 2024 in the Web of Science database.Using CiteSpace, VOSviewer,and Bibliometrix software,we analysed keywords, authors,institutions, countries,and journals,and constructed a network cooperation map. RESULTS: A total of 2888 articles written by 11,723 authors from 70 countries and 3194 institutions were analysed and published in 530 journals.The United States, with 855 publications accounting for 29.61%of the world's total,and the United Kingdom, with 332 publications representing 11.50 %,made the greatest contributions.Additionally,the United States maintains strong collaborative relationships with many countries. According to the analysis of the outbreak keyword map, the joint replacement of rheumatoid arthritis has become mature, and the complications, prognosis and functional rehabilitation of joint replacement are the main focus of research in this field. CONCLUSION: we conducted a comprehensive summary of the literature on rheumatoid arthritis joint replacement published between 2005 and 2024 using bibliometrics and visual analysis.This enabled us to identify the development trends and research hotspots in this field over the past two decades, offering valuable insights for researchers planning future studies in this area.