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Who Is at Risk for Periprosthetic Joint Infection?

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Periprosthetic Joint Infections

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Abstract

Periprosthetic joint infection (PJI) is one of the most devastating complications after total joint arthroplasty (TJA). The number of TJAs and PJIs is increasing annually, and it is crucial for surgeons to reduce the burden of PJI. In order to effectively do this, an understanding of risk factors for developing PJI is critical for patient selection, instituting preventative measures, and performing preoperative medical risk optimization prior to elective surgery. Unfortunately, even with the absence of risk factors, PJI may still occur. The literature regarding PJI continues to evolve and hundreds of studies and several PJI risk calculators have been generated in the last decade. As we identify new risk factors and enhance our understanding of PJI, it will become increasingly important for surgeons to be cognizant of these risk factors and institute methods to modify them. This chapter aims to succinctly review the current literature regarding preoperative risk factors, including both patient-related risk factors, such as comorbidities and demographics, and surgical factors.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, The Rothman Institute of Orthopaedics, Thomas Jefferson University Hospital, Philadelphia, PA, USA

    Timothy L. Tan MD & Michael M. Kheir BS

  2. Department of Orthopaedic Surgery, The Rothman Institute of Orthopaedics, Thomas Jefferson University Hospital, 925 Chestnut St., Philadelphia, PA, 19107, USA

    Antonia F. Chen MD, MBA

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  1. Timothy L. Tan MD
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  2. Michael M. Kheir BS
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Correspondence to Antonia F. Chen MD, MBA .

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Editors and Affiliations

  1. HELIOS ENDO-Klinik Hamburg, Berlin, Germany

    Daniel Kendoff

  2. University Hospital of Wales, Cardiff, United Kingdom

    Rhidian Morgan-Jones

  3. University College London Hospitals, London, United Kingdom

    Fares S. Haddad

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Tan, T.L., Kheir, M.M., Chen, A.F. (2016). Who Is at Risk for Periprosthetic Joint Infection?. In: Kendoff, D., Morgan-Jones, R., Haddad, F. (eds) Periprosthetic Joint Infections. Springer, Cham. https://doi.org/10.1007/978-3-319-30091-7_5

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