Predictive Value of Common Serum Glycaemic Markers on Periprosthetic Joint Infection Following Total Joint Arthroplasty: A Review of the Literature

Overview

Journal J Orthop

Specialty Orthopedics

Date 2020 Jun 26

PMID 32581459

Citations 1

Authors

Yogen Thever

Bryon Jun Xiong Teo

Hwee Chye Andrew Tan

Affiliations

Soon will be listed here.

Abstract

It is well established that diabetes mellitus and osteoarthritis commonly exist together and among various treatment modalities for osteoarthritis, Total Joint Arthroplasty (TJA) has been effective. Prosthetic Joint Infection (PJI) is a serious complication of TJA with high costs and morbidity associated with it. The aim of this study is to provide background information and relevance of diabetes on PJI, and to conduct a review on existing literature, to find out if common serum glycaemic markers in diabetes could be used as predictors for PJI after TJA. These markers include measuring pre-operative glucose levels with glycated haemoglobin (HbA1c) or capillary blood glucose, peri-operative or post-operative blood glucose levels. We have found that existing literature studying these markers as predictors of PJI after TJA has been largely contentious. Despite not being used widely in clinical practice, serum fructosamine has been shown to be more reliable and accurate than the above-mentioned markers. Future studies should be carried out to confirm and better understand this association.

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