Joint arthroplasty or joint infection is a surgical procedure which can provide pain relief and increase the mobility of the joints like the hip and the knee. Even though most of the surgeries result in being successful, there is always a chance for periprosthetic joint infection (PJI). This condition can make the joint arthroplasty a failure. Medical conditions like obesity, rheumatologic disease and diabetes are usually the risk factors for PJI.
Morbid obesity: Obesity is one of the major risk concern which may lead to many other diseases like hypertension, heart disease, diabetes etc. obese patients have more chances of undergoing Joint arthroplasty. They also have an increased risk of PJI
Malnutrition: Malnutrition can alone increase the risk of PJI in patients who have undergone Joint arthroplasty. Age, obesity etc. can also contribute to the poor nutritional state of the patients
Hyperglycemia and uncontrolled diabetes mellitus: Diabetes is one of the most common disorders persisting in the world. Number of diabetic patients undergoing Joint arthroplasty, especially when it comes to the hip and the knee, is at an increasing rate after every year. Diabetes can also increase the risk of having severe osteoarthritis
Preoperative anemia: This condition, mainly known as less hemoglobin levels in the blood, frequently occurs in 15-33% of patients undergoing Joint arthroplasty. The risk of PJI is higher in anemic patients rather than non-anemic patients according to multivariate analysis
Rheumatoid arthritis (RA): Nearly 5 % of people who underwent Joint Arthroscopy have RA. Certain studies have reported RA as the independent risk factor for PJI
Some other risk factors can be cardiovascular disorder, chronic renal failure, alcohol abuse, smoking and even depression. Joint Arthroscopy is an elective surgery. Hence it is advised that people who are free from much health complications are suggested to go ahead with surgery. It’s very important to remember that no patient is free of risk or there is no guarantee that infection may not occur.
Dr Niraj Vora is a Hip and Knee specialist and surgeon and consultant orthopaedic surgeon. He has specialised in hip resurfacing and Joint replacement surgeries like Total Hip and Total Knee replacement surgeries. Dr Vora is also specialised in Trauma surgeries. He has successfully performed around 3000+ knee and hip replacement surgeries and 1000+ trauma and other orthopaedic surgeries.
Dr Vora has spent 15 years in UK in learning newer and better techniques in Trauma and Hip and Knee replacement, including the use of Computer Assisted Navigation, Hip Resurfacing and “High Flexion” Knee Replacement. He has been extensively trained in the UK. Dr Niraj Vora has won Dr Anand Pardhy price, Dr M.V. Sant prize and Dr Dipak Kothari gold medal for obtaining first rank in MS Orthopaedics examinations of the University of Bombay for the year 1992-93. He is also Fellowship trained at the Robert Jones and Agnes Hunt Hospital, Oswestry, UK, which does the largest number of joint replacements a year in the UK.