Wound Healing Problems in Revision Hip Arthroplasty

Background: Per primam healing of surgical wound is obligatory for good results after arthroplasty. Surgical wound complications can lead to deep periprosthetic infection, therefore a devastating complication. Surgical wound healing is affected by multiple factors related to underlying disease, patient comorbidities, lifestyle, nutrition and associated medications. If these are combined, the risk of periprosthetic infection is greater.
Material and methods: We studied wound healing problems on 57 cases of revision hip arthroplasties performed between 2008–2010. The wounds were monitored daily, and the changes were noted and scored.
Results: All the 57 patients presented various predisposing factors for wound healing complications, 12 patients (21.05%) had a two-stage revision and 11 patients (11.29%) presented wound healing problems.
Conclusion: Per primam wound healing is a basic requirement in hip arthroplasty. Any change noted during wound healing should be treated seriously.