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Journal of Bone and Joint Infection An open-access journal of the European Bone and Joint Infection Society and the MusculoSkeletal Infection Society
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Our objective was to analyze if patients with larger soft-tissue thickness measured in X-rays have greater risk of acute infection after hip arthroplasty. We reviewed acute-infection patients in our institution over 6 years and selected 2 patients with similar demographics that were not infected for each case. Larger measurements showed association with acute infection. This easily obtainable measurement might provide helpful data in making preoperative risk assessments and prevention programs.
JBJI | Articles | Volume 6, issue 6
J. Bone Joint Infect., 6, 211–217, 2021
https://doi.org/10.5194/jbji-6-211-2021
J. Bone Joint Infect., 6, 211–217, 2021
https://doi.org/10.5194/jbji-6-211-2021

Original full-length article 04 Jun 2021

Original full-length article | 04 Jun 2021

Soft-tissue thickness radiographic measurement: a marker to evaluate acute periprosthetic joint infection risk in total hip replacement

Laura Rey Fernández et al.

Related subject area

Subject: Prosthesis-related infections | Topic: Aetiology
Revision for periprosthetic joint infection rate stratified by seasonality of operation in a national population of total and unicompartmental knee arthroplasty patients: a register-based analysis
Julius Tetens Hald, Anne Brun Hesselvig, Andreas Kryger Jensen, and Anders Odgaard
J. Bone Joint Infect., 6, 111–117, https://doi.org/10.5194/jbji-6-111-2021,https://doi.org/10.5194/jbji-6-111-2021, 2021
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Cited articles

Adhikary, S. D., Liu, W., and Memtsoudis, S. G.: Body Mass Index More Than 45 kg/m(2) as a Cutoff Point Is Associated With Dramatically Increased Postoperative Complications in Total Knee Arthroplasty and Total Hip Arthroplasty, J. Arthroplast., 31, 749–753, 2016. 
Bell, J., Jeong, A., Bohl, D., Levine, B., Della Valle, C., and Nam, D.: Does peritrochanteric fat thickness increase the risk of early reoperation for infection or wound complications following total hip arthroplasty?, Journal of Orthopaedics, 16, 359–362, 2019. 
Bernaus, M., Anglès, F., Escudero, B., Veloso, M., Matamala, A., and Font-Vizcarra, L.: Subcutaneous Radiographic Measurement: A Marker to Evaluate Surgical Site Infection Risk in Elderly Hip Fracture Patients, J. Bone Joint Infect., 4, 27–32, https://doi.org/10.7150/jbji.30158, 2019. 
Chee, Y. H., Teoh, K. H., Sabnis, B. M., Ballantyne, J. A., and Brenkel, I. J.:  Total hip replacement in morbidly obese patients with osteoarthritis: Results of a prospectively matched study, J. Bone Jt. Surg. Br., 92-B, 1066–1071, 2010. 
DeMik, D. E., Bedard, N. A., and Dowdle, S. B.: Complications and Obesity in Arthroplasty-A Hip is Not a Knee, J. Arthroplast., 33, 3281–3287, 2018. 
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Short summary
Our objective was to analyze if patients with larger soft-tissue thickness measured in X-rays have greater risk of acute infection after hip arthroplasty. We reviewed acute-infection patients in our institution over 6 years and selected 2 patients with similar demographics that were not infected for each case. Larger measurements showed association with acute infection. This easily obtainable measurement might provide helpful data in making preoperative risk assessments and prevention programs.
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