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). Know more at: http://www.drnirajvora.net/medical-risk-factors-for-joint-infection-of-the-hip-and-knee/

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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.

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• 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

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• 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.

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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.

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