Abstract
Background Older adults with hip joint osteoarthritis, a major cause of chronic progressively disabling highly painful functional experiences, may require a surgical joint replacement procedure known as total joint arthroplasty surgery. Objective This review aimed to address the question of whether there an association between hip joint arthroplasty infection rates and prevailing pre or preoperative vitamin D levels that warrants consideration in efforts to prevent or minimize infection related hip arthroplasty complications among older adults particularly during the current ongoing COVID-19 pandemic. Methods PUBMED, SCOPUS, and WEB OF SCIENCE articles related to the topic and published between January 2016-2021 were searched, examined, and summarized. Results Older adults with hip joint osteoarthritis and low vitamin D serum levels who undergo total hip joint arthroplasty surgery may be at higher risk for post-operative infections than those with adequate vitamin D serum levels. Conclusion More research to verify whether efforts to screen for, and maximize vitamin D levels, before and after surgery, as indicated, may be helpful in the context of minimizing total hip joint arthroplasty surgery infection susceptibility and severity among older vitamin D deficient severely disabled hip osteoarthritis cases.
Highlights
A major cause of disabling pain among older adults, and predicted to occur in one of four older adults in the future [1], has long been considered a chronic health condition that deteriorates over time, and one that often requires surgical joint replacement, or a procedure known as total joint arthroplasty surgery
This review aimed to examine those recently published works that addressed the nature of vitamin D and its possible utility for helping to avert infections post hip joint arthroplasty
To achieve the overall aims of the current review, and to possibly answer the question of whether vitamin D is clinically relevant in the context of averting or minimizing post-operative hip arthroplasty infection rates, all pertinent articles listed on the PUBMED, Scopus, and Web of Science Consolidated Data Bases that appeared to inform about vitamin D, hip joint osteoarthritis, and post-surgical joint infections at the hip were sought and those of high relevance were examined
Summary
A major cause of disabling pain among older adults, and predicted to occur in one of four older adults in the future [1], has long been considered a chronic health condition that deteriorates over time, and one that often requires surgical joint replacement, or a procedure known as total joint arthroplasty surgery. Even if only a small number of cases are likely to incur periprosthetic joint infections [5], given the immense additional social and personal costs and resultant suffering in the instance of a joint infection, substantive efforts to limit or reduce this occurrence and any further need for revision surgery has been advocated for some time While this situation, which is not easy to predict and resolve, remains a high priority issue for surgeons and hospitals, it is possible even more important to address in light of the ongoing COVID-19 pandemic where the patient may be in more severe pain and less healthy before surgery than in pre COVID-19 times [6]. Older adults with hip joint osteoarthritis, a major cause of chronic progressively disabling highly painful functional experiences, may require a surgical joint replacement procedure known as total joint arthroplasty surgery
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