A simple, cost-effective screening protocol to rule out periprosthetic infection

被引：76

作者：

Austin, Matthew S. ^{[1
]}

Ghanem, Elie ^{[1
]}

Joshi, Ashish ^{[1
]}

Lindsay, Adam ^{[1
]}

Parvizi, Javad ^{[1
]}

机构：

[1] Thomas Jefferson Univ Hosp, Dept Orthopaed Surg, Rothman Inst, Philadelphia, PA 19107 USA

来源：

JOURNAL OF ARTHROPLASTY | 2008年 / 23卷 / 01期

关键词：

periprosthetic infection; total knee arthroplasty; erythrocyte sedimentation rate; C-reactive protein;

D O I：

10.1016/j.arth.2007.09.005

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

The differential diagnosis of pain after total knee arthroplasty includes infection. Effective screening tools should have high sensitivity and are cost-effective. We evaluated 296 patients who underwent total knee revision at our institution. One hundred sixteen patients (39%) were classified as infected and 180 patients (61%) were considered noninfected. The mean erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) of the infected patients were 85 mm/h and 110 mg/L, respectively. The mean ESR and CRP of the noninfected patients were 22 mm/h and 7 mg/L, respectively. Five patients (4%) in the infected group had both normal ESR and CRP. Infection was suspected in all 5 patients, and an organism was cultured in 4 of the 5 cases. Erythrocyte sedimentation rate and CRP, when used in combination, serve as a useful screening tool in patients with a painful total knee arthroplasty.

引用

页码：65 / 68

页数：4

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