RETROSPECTIVE ANALYSIS OF SURGICAL SITE INFECTION CAUSES IN ELDERLY PATIENTS AFTER HIP REPLACEMENT

Abstract

Infectious complications of surgical site after hip replacement in elderly and senile patients is one of the most severe complications, occurring from 0.3% to 15.0% of cases. Periprosthetic joint infection (PJI) in patients of this age group with the background of severe concomitant pathology is not uncommon cause of disability and fatal outcomes. The article highlights significant risk factors of periprosthetic infection after modern endoprosthetics. A retrospective analysis of the treatment of 504 patients after primary arthroplasty for femoral neck fracture from 2017 to 2021 was performed. Thirty-eight patients (75%) suffered from local infectious complications in the form of PJI in the postoperative period. The main factors contributing to PJI include male gender, 84-88 years age group, more than 5 concomitant diseases, late hospitalization and surgical treatment (after more than 48 hours).