The Timing of Total Hip Arthroplasty After Intraarticular Hip Injection Affects Postoperative Infection Risk

The Journal of Arthroplasty
Brian C WernerJames A Browne

Abstract

The data regarding any association between preoperative intraarticular steroid injection and risk ofperiprosthetic joint infection (PJI) after total hip arthroplasty (THA) are conflicting. The goal of the present study is to evaluate the association of preoperative intraarticular hip injection before THA on the incidence of postoperative PJI. A national database was queried for patients who underwent THA and those patients who underwent prior ipsilateral hip injection. Three cohorts were created: THA within 3 months of ipsilateral hip injection (n = 829), THA between 3 and 6 months after ipsilateral hip injection (n= 1379), and THA between 6 and 12months after ipsilateral hip injection (n=1160). A control group of THAwithout prior injectionwas created for comparison purposes (n=31,229). The rate of postoperative infectionwas compared between injection cohorts and controls. The incidence of infection after THA at 3 months (2.41%; odds ratio, 1.9; P = .004) and 6 months (3.74%; odds ratio, 1.5; P < .019) was significantly higher in the patients who underwent hip injection within 3months before THA comparedwith controls. Therewas no significant difference in infection rates in patients who underwent THA between 3 and 6months or 6 ...Continue Reading

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Citations

Aug 3, 2016·The Bone & Joint Journal·F S Haddad
Jul 19, 2017·The Journal of Bone and Joint Surgery. American Volume·Antonia F ChenAlex McLaren
Jan 18, 2019·The Journal of Bone and Joint Surgery. American Volume·Shawn S RichardsonPeter K Sculco
Apr 18, 2019·The Journal of Bone and Joint Surgery. American Volume·Brian ForsytheRandy Mascarenhas
Aug 21, 2020·Cartilage·Magda ChoueiriFlorent Eymard
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Mar 16, 2017·Journal of Neurosurgery. Spine·Anuj SinglaFrancis H Shen
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Sep 20, 2017·The Journal of Bone and Joint Surgery. American Volume·James T NinomiyaStephen J Incavo
Mar 9, 2021·Journal of Clinical Orthopaedics and Trauma·Alex TangVinay K Aggarwal
May 27, 2020·Journal of Shoulder and Elbow Surgery·Tae Yoon KwonSung-Min Rhee
Apr 4, 2021·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Brian ForsytheRandy Mascarenhas
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Aug 24, 2021·Orthopaedic Journal of Sports Medicine·John W BelkEric C McCarty
Sep 23, 2021·The Journal of Bone and Joint Surgery. American Volume·Kanu OkikeHyo-Chun Yoon

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