IMPACT OF HIP ARTHROSCOPY ON PROSTHETIC JOINT INFECTION IN ELECTIVE TOTAL HIP REPLACEMENT: A SYSTEMATIC REVIEW OF THE LITERATURE

E. Ghezzi¹, G. D'Andrea¹, M. Alessio-Mazzola² , M. Conca², S. Mosca¹ , V. Salini¹

¹ Vita-Salute University, IRCCS San Raffaele Hospital, Milan, Italy
² IRCCS San Raffaele Hospital, Milan, Italy

Correspondence to:

Annals of Stomatology 2025 January-April; 5(1): Ahead of Print
https://doi.org/10.69149/orthopedics/2025v17iss1_5

Received: 15 November 2024 Accepted: 10 January 2025

Download PDF

Abstract

Total hip arthroplasty (THA) is the definitive surgical treatment for advanced joint diseases, aiming to improve patient quality of life and reduce pain. However, concerns have been raised about whether prior arthroscopy (HA) may increase the risk of postoperative complications, such as surgical site infections (SSIs) and prosthetic joint infections (PJIs), in patients undergoing subsequent arthroplasty. Understanding this relationship is essential for optimizing surgical outcomes and clinical decision-making. This systematic review aims to demonstrate evidence regarding the impact of prior arthroscopy on the risk of SSI and PJI in hip arthroplasty. Comprehensive research was conducted on PubMed, EMBASE, and other databases according to PRISMA guidelines. A total of 13 studies were included in the review. Most studies found no significant increase in SSI/PJI risk following arthroplasty after prior arthroscopy. Current evidence does not suggest a consistent increase in SSI/PJI risk following arthroplasty after arthroscopy. However, targeted management may be beneficial in high-risk populations.

Keywords: hip arthroscopy, prosthetic joint infection, surgical site infection, total hip arthroplasty, total hip replacement