What does this research mean for the field?

A history of stroke increases the risk of postoperative complications, particularly periprosthetic joint infection, after total hip arthroplasty, and deferring surgery for at least 18 months minimizes these risks. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

To examine how a history of stroke affects outcomes in total hip arthroplasty (THA).

March 28, 2026

Impact of Stroke History and Interval on Outcomes of Total Hip Arthroplasty: A Retrospective Cohort Study

Key Points

To examine how a history of stroke affects outcomes in total hip arthroplasty (THA).
Conducted a retrospective cohort study
Analyzed postoperative complications in patients with stroke history
Evaluated time intervals between stroke and THA
Patients with a stroke history experienced higher postoperative complications
Increased risk of prosthetic joint infection (PJI) was noted
Recommendation to delay THA for at least 18 months post-stroke

Abstract

A history of stroke increases postoperative complications after THA, particularly PJI. We recommend patients defer THA for at least 18 months following a stroke to minimize risks.

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Discussion

Authors

Paul Botolin

Johns Hopkins University

R. García Robles

Virginia Department of Health

Christopher A Keshishian

Virginia Department of Health

Journals

Orthopedics

Actions

Institutions

Johns Hopkins University

Johns Hopkins Medicine

University of Maryland, Baltimore

References and Citations

Connected Papers

Building similarity graph...

Analyzing shared references across papers

Impact of Stroke History and Interval on Outcomes of Total Hip Arthroplasty: A Retrospective Cohort Study

Key Points

Abstract

Citation Network

Connected Papers

Discussion

Authors

Journals

Actions

Institutions

References and Citations

Citation Network

Connected Papers

Discussion

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