The Rate of Postoperative Infections in Patients with Total Hip Replacement Done In Ayub Teaching Hospital, Abbottabad

After total hip replacement many complications occur postoperatively. One of the serious complications is the surgical wound site infection that can convert into peri-prosthetic joint infection. Objective: To determine the rate of postoperative infection in patients with total hip replacement done in Ayub Teaching Hospital, Abbottabad. Methods: This retrospective cross-sectional study investigated 32 patients underwent total hip replacement in the Orthopedic Department of Ayub Teaching Hospital, Abbottabad from January 2020 to April 2024. All the adult patients underwent unilateral total hip replacement were enrolled. Patient’s demographic details, indication for surgery, co-morbidities, hip deformity, and post-operative complications were recorded. SPSS version 26.0 was used for data analysis. Results: The overall mean age and length of hospital stay was 54 ± 15.9 years and 14 ± 12.8 days. The incidence of post-operative infection was 34.4% (n=11). Wound infection was the most prevalent post-operative infection/complications found in 6 (18.8%) followed by urinary tract infection 3 (9.4%), dislocation 1 (3.1%), and pneumonia 1 (3.1%). According to univariate analysis, American system of anesthesiologist (ASA) grades, hip deformity, and blood transfusion were significantly associated with post-operative infection. Conclusion: It was concluded that several pre-operative risk factors considerably affect the probability of post-operative wound infection following total hip arthroplasty; hence, early diagnosis, management, and treatment are necessary to decrease morbidity and death.