What are the absolute and relative contraindications to elective primary total joint arthroplasty (TJA), with respect to surgical site infection (SSI) and periprosthetic joint infection (PJI) risk?

What are the absolute and relative contraindications to elective primary total joint arthroplasty (TJA), with respect to surgical site infection (SSI) and periprosthetic joint infection (PJI) risk?

Authors: Richard Iorio, Zlatan Cizmic, James E. Feng, Setor Kunustor

RECOMMENDATION: Elective joint arthroplasty is contraindicated in patients with an infectious lesion in the ipsilateral extremity, until the infection is resolved. TJA needs to be deferred in patients with uncontrolled conditions such as diabetes, malnutrition, chronic kidney disease, as well as other diseases that are known to increase the risks of SSIs/PJIs.

LEVEL OF EVIDENCE: Strong

DELEGATE VOTE: Agree: 90%, Disagree: 7%, Abstain: 3% (Super Majority, Strong Consensus)

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