Short-term Complications After Revision Hip Arthroplasty for Prosthetic Joint Infection Are Increased Relative to Noninfectious Revisions

The Journal of Arthroplasty
Venkat BoddapatiEdwin P Su

Abstract

Periprosthetic joint infection (PJI) after total hip arthroplasty (THA) is associated with significant morbidity and cost. The purpose of this study was to determine how rates of perioperative complications, operative duration, and postoperative length of stay (LOS) in patients undergoing revision THA for PJI compare to primary THA and to revision THA for non-PJI. We used the National Surgical Quality Improvement Program registry from 2005 to 2015 to identify all patients who underwent primary and revision THA. Patients were placed into cohorts based on the surgical procedure and by indication, including (1) primary THA, (2) revision THA for PJI, and (3) revision THA for non-PJI. Differences in 30-day postoperative medical complications, hospital readmissions, operative duration, and LOS were compared using bivariate and multivariate analyses. One lakh fourteen thousand five hundred five THA patients were identified, with 102,460 (89.5%) patients undergoing a primary THA and 12,045 (10.5%) undergoing a revision procedure. Of the 12,045 revision procedures, 10,777 (89.5%) were for non-PJI indications and 1268 (10.5%) were for PJI. Relative to primary THA, patients undergoing revision THA for PJI had an increased rate of total co...Continue Reading

Citations

Oct 4, 2018·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Marjan Wouthuyzen-BakkerAlex Soriano
Jan 25, 2020·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Yu WangLloyd S Miller
Jan 24, 2020·The Journal of the American Academy of Orthopaedic Surgeons·Creighton C TubbBarbara Krause
Jul 25, 2019·Clinical Orthopaedics and Related Research·Charalampos G Zalavras
Jun 19, 2019·Clinical Orthopaedics and Related Research·Anthony J BonielloP Maxwell Courtney
Jun 18, 2019·Clinical Orthopaedics and Related Research·Anthony J BonielloP Maxwell Courtney
Mar 26, 2021·The Journal of Bone and Joint Surgery. American Volume·Alexander J AcuñaAtul F Kamath
Mar 14, 2021·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Yu WangNathan K Archer
Jan 4, 2022·Orthopedics·Alexander L NeuwirthH John Cooper

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