Paper of the week: Risk factors associated with periprosthetic joint infection after total elbow arthroplasty. Somerson JS, Boylan MR, Hug KT, Naziri Q, Paulino CB, Huang JI. Shoulder Elbow. 2019 Apr;11(2):116-120. doi: 10.1177/1758573217741318.
Summary by Dr Sreeram Penna
This is a retrospective registry study of patients who had total elbow arthroplasty (TEA). Data was obtained from New York SPARCS database. Study included 1452 patients who had TEA in New York state between 1st Jan 2003 to 30th September 2012. Overall rate of infection was 3.72% (54/1452). There were 30 early infections (2.1%), 17 delayed infections (1.2%) and seven late infections (0.5%). Regression model showed that main risk factors associated with periprosthetic joint infection in TEA was rheumatoid arthritis (OR:3.31; p<0.001), tobacco use disorder (OR:3.39; p=0.003) and hypothyroidism (OR:2.04; p=0.045).