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Mark D Kohn Department of Orthopaedic Surgery and Sports Medicine, University of Washington, Seattle, Washington, USA

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Charles J Wolock Department of Biostatistics, University of Washington, Seattle, Washington, USA

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Isaac J Poulson School of Medicine, University of Washington, Seattle, Washington, USA

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Navin D Fernando Department of Orthopaedic Surgery and Sports Medicine, University of Washington, Seattle, Washington, USA

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Introduction Recent estimates of the prevalence of patients infected with hepatitis C include at least 5.2 million persons living in the United States. ( 1 ) Patients with chronic hepatitis C who underwent total joint arthroplasty (TJA) have

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Richard Peter Almeida Arthroplasty Unit, Division of Orthopaedic Surgery, Charlotte Maxeke Johannesburg Academic Hospital, University of the Witwatersrand, Johannesburg, South Africa

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Lipalo Mokete Arthroplasty Unit, Division of Orthopaedic Surgery, Charlotte Maxeke Johannesburg Academic Hospital, University of the Witwatersrand, Johannesburg, South Africa

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Nkhodiseni Sikhauli Arthroplasty Unit, Division of Orthopaedic Surgery, Charlotte Maxeke Johannesburg Academic Hospital, University of the Witwatersrand, Johannesburg, South Africa

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Allan Roy Sekeitto Arthroplasty Unit, Division of Orthopaedic Surgery, Charlotte Maxeke Johannesburg Academic Hospital, University of the Witwatersrand, Johannesburg, South Africa

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Jurek Pietrzak Arthroplasty Unit, Division of Orthopaedic Surgery, Charlotte Maxeke Johannesburg Academic Hospital, University of the Witwatersrand, Johannesburg, South Africa

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reported with hepatitis C infections. 27 , 28 It has been hypothesized that small vessel vasculitis together with liver, kidney, haematological and immune system impairments affect wound healing and wound infection. 27 Chronic alcohol use has been

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