Pre-Operative Glycemic Control Predicts Peri-Operative Serum
Glucose Levels in Diabetic Patients Undergoing Total Joint
Total hip arthroplasty (THA) and total knee arthroplasty (TKA) have become increasingly popular orthopedic
procedures, with expected increases of 174% and 673% by the year 2030, respectively. Perhaps the most
feared complication of TJA is periprosthetic joint infection (PJI), which has been shown to increase the morbidity and mortality in patients after TJA.
Diabetes has been shown to be an independent risk factor for PJI, and is an extremely common disease encountered in healthcare today. Recent estimates showed a 30.6% increase in the prevalence of diabetes from 2014 to 2015, increasing from 333 million persons to 435 million persons, with this number expected to rise to 592 million persons by the year 2035. Knowing that both diabetes and post-operative hyperglycemia are independent risk factors for PJI, we sought to determine the association between preoperative A1c and post operative hyperglycemia.