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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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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