DOI: 10.5435/JAAOS-D-16-00920

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PMID: 29176506

Issn Print: 1067-151X

Publication Date: 2017/12/01


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Complication Rates After Total Hip and Knee Arthroplasty in Patients With Hepatitis C Compared With Matched Control Patients

Jourdan M. Cancienne; Adrese M. Kandahari; Aaron Casp; Wendy Novicoff; James A. Browne; Quanjun Cui; Brian C. Werner

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Abstract

Background:

A paucity of data exists regarding long-term outcomes among patients with hepatitis C who undergo total hip arthroplasty (THA) and total knee arthroplasty (TKA).

Methods:

We queried a database for patients with hepatitis C who underwent THA and TKA. We then identified their rates of several postoperative complications and compared them with the same rates among mutually exclusive matched control cohorts.

Results:

Patients with hepatitis C who underwent THA and TKA had higher rates of infection, aseptic revision surgery, medical complications, and blood transfusion compared with matched control patients.

Discussion:

Our findings suggest that patients with hepatitis C who undergo THA and TKA are at increased risk of experiencing several postoperative complications, which could mean a substantial increase in the cost of care.

Conclusions:

Further research is needed to establish quantifiable associations between hepatitis C and postoperative complications among patients with the disease who undergo total joint arthroplasty.

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