Original article

Risk factors for periprosthetic joint infection of the hip and knee

Authors

• • Jozef Breznicky Jozef Breznicky ORCID profile. (opens in new tab)
  • Orthopaedic Clinic, F. D. Roosevelt Hospital, Banska Bystrica, Slovakia
• • Marian Hlavac
  • Orthopaedic Clinic, F. D. Roosevelt Hospital, Banska Bystrica, Slovakia
• • Martin Novak
  • Comenius University in Bratislava, Jessenius Faculty of Medicine in Martin, Department of Public Health, Slovakia
• • Matej Hrncar
  • Oncology Clinic, F. D. Roosevelt Hospital, Banska Bystrica, Slovakia

Abstract

Aim: To investigate risk factors for the development of prosthetic joint infection.

Methods: A group of 50 patients with periprosthetic infection was compared with a group of 100 randomly selected patients with total hip or knee arthroplasty without infectious complications. Twelve risk factors in both groups were analysed.

Results: Five factors showed to be significant: body mass index higher than 40, diabetes mellitus on insulin therapy, kidney and liver disease, vascular disease of the lower extremities and positive drain tip culture.

Conclusion: One of the ways to reduce the incidence of periprosthetic infection is the maximum possible elimination of risk factors in patients who have a high probability of endoprosthesis infection. If this elimination is not possible for a long time, it is advisable to consider abandoning the planned operation.

Keywords: body mass index, diabetes mellitus, total joint replacement

How to Cite: Breznicky, J. , Hlavac, M. , Novak, M. & Hrncar, M. (2019) “Risk factors for periprosthetic joint infection of the hip and knee”, Medicinski glasnik. 17(1). doi: https://doi.org/10.17392/1046-20