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Fewer Complications Following Revision Hip and Knee Arthroplasty in Patients with Normal Vitamin D Levels – March 2017

 
The Journal of Arthroplasty, online 8 March 2017, http://dx.doi.org/10.1016/j.arth.2017.02.038
Sophia Traven, MD1, , , Alexander Chiaramonti, MD1, William Barfield, PhD1, Patricia Kirkland, BS1, Harry Demos, MD1, H. Del Schutte, MD2, Jacob Drew, MD1

 


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

Methods
A retrospective review of 126 revision TJA patients between 2010-2014 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 PJI as the reason for revision surgery.

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

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