Case Control Study
Copyright ©The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Dec 18, 2017; 8(12): 895-901
Published online Dec 18, 2017. doi: 10.5312/wjo.v8.i12.895
Season of the year influences infection rates following total hip arthroplasty
Samuel Rosas, Alvin C Ong, Leonard T Buller, Karim G Sabeh, Tsun yee Law, Martin W Roche, Victor H Hernandez
Samuel Rosas, Department of Orthopedic Surgery, Wake Forest School of Medicine, Winston-Salem, NC 27101, United States
Samuel Rosas, Tsun yee Law, Holy Cross Orthopedic Institute, Fort Lauderdale, FL 33334, United States
Alvin C Ong, Orthopedic Surgery, Thomas Jefferson University Hospital, Egg Harbor Town, NJ 08234, United States
Leonard T Buller, Karim G Sabeh, Tsun yee Law, Victor H Hernandez, Department of Orthopedics Surgery, University of Miami, Miami, FL 33136, United States
Martin W Roche, Department of Orthopaedic Surgery, Holy Cross Hospital, Fort Lauderdale, FL 33316, United States
Author contributions: All of the authors contributed significantly to the data analysis and writing of this article.
Institutional review board statement: No IRB approval was required as this project utilized no patient identifying data as the data are extracted from a HIPAA compliant database.
Informed consent statement: This study was conducted by utilizing the PearlDiver Supercomputer. This allows the researchers to conduct research without requiring patient specific information and thus no informed consent was required.
Conflict-of-interest statement: None of the authors report any conflict of interest with this article.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Samuel Rosas, MD, Postdoctoral Fellow, Department of Orthopedic Surgery, Wake Forest School of Medicine, 1 Medical Center Boulevard, Winston-Salem, NC 27101, United States. srosas@wakehealth.edu
Telephone: +1-336-7163950 Fax: +1-336-7167310
Received: August 17, 2017
Peer-review started: August 16, 2017
First decision: October 9, 2017
Revised: October 11, 2017
Accepted: November 22, 2017
Article in press: November 22, 2017
Published online: December 18, 2017
Core Tip

Core tip: Season of the year when a total hip arthroplasty is performed may affect 90-d post-operative outcomes in certain regions of the United States. Furthermore, there appears to be a difference of the effect of seasonal variation on the outcomes as superficial infections have different patterns compared to deep peri-prosthetic joint infection.