ICJR Interviews: Assessing Risk for Wound Complications

    Are there specific risk factors for wound complications following total hip arthroplasty (THA) through the direct anterior approach?

    According to Jose A. Rodriguez, MD, the answer is yes: A retrospective review of 651 consecutive THA patients operated on by Dr. Rodgriguez and his partner at Lenox Hill Hospital in New York, John Cooper, MD, showed that obesity and diabetes increase the risk for wound complications after THA.

    Nearly 12% of their patients had a wound complication, which they defined as prolonged drainage, wound dehiscence, wound necrosis, suture granuloma, and superficial infection. The common denominators were BMI greater than 30 and a diagnosis of diabetes mellitus.

    With BMI, the risk increased for every increase in the BMI segment – in other words, patients with a BMI greater than 40 were at higher risk than those with a BMI greater than 30. Diabetes was a risk factor in isolation and in association with a higher BMI.

    Click the image above to hear Dr. Rodriguez discuss the findings of the study, “Risk Factors for Wound Complications following Direct Anterior Approach Hip Arthroplasty” (Poster 076), which was presented at the 2016 Annual Meeting of the American Academy of Orthopaedic Surgeons in Orlando.

    Producer: Susan Doan Johnson; Director: Michael Bugera; Post Production: Charles J. Maynard