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Fewer Complications Following Revision Hip and Knee Arthroplasty in Patients With Normal Vitamin D Levels

Published:March 08, 2017DOI:https://doi.org/10.1016/j.arth.2017.02.038

      Abstract

      Background

      Surgeons and hospitals increasingly face penalty for complications and readmission following total joint arthroplasty; therefore, optimization of modifiable risk factors is paramount. Literature associates low vitamin D with risk of periprosthetic joint infection, and we hypothesized low vitamin D to be predictive of increased rate of complications and readmissions.

      Methods

      A retrospective review of 126 revision total joint arthroplasty patients between 2010 and 2014 was performed.

      Results

      Low vitamin D was not associated with risk of 30-day readmission but was found to be associated with an increased risk of 90-day complications as well as periprosthetic joint infection as the reason for revision surgery.

      Conclusion

      Preoperative vitamin D level should be considered a modifiable risk factor for complications following revision arthroplasty.

      Keywords

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