Current Orthopaedics
Volume 19, Issue 1 , Pages 59-67, February 2005

The outcome of total hip and knee arthroplasty in diabetics

Department of Orthopaedics, Queen Margaret Hospital, Whitefield Road, Dunfermline,

Fife KY12 0SU, UK

Summary 

Patients with diabetes have a higher rate of deep infection.22–26 The routine use of prophylactic antibiotics, antibiotic loaded cement and a modern operating environment, however (laminar air flow with or without clean air) should make the risk less significant.27 In addition extra care should be taken on handling of the skin (especially around the knee) and the appropriate sutures and suturing technique adopted.

The rate of aseptic loosening is higher in diabetic patients and is most likely due to the neuropathy in these patients. The patients and surgeon should be aware of this increased risk.

Keywords: Hip arthroplasty, Knee arthroplasty, Diabetes, Outcome, Infection

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PII: S0268-0890(05)00042-3

doi:10.1016/j.cuor.2005.02.010

Current Orthopaedics
Volume 19, Issue 1 , Pages 59-67, February 2005

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