Investigation of Inflammatory and Hemostatic Parameters in Female Patients Undergoing Total Knee Arthroplasty Surgery

被引:0
作者
A. Ata Alturfan
Levent Eralp
Nesrin Emekli
机构
[1] Cerrahpasa Medical Faculty,Vocational School Health Services
[2] Istanbul University,Department of Orthopaedics and Traumatology
[3] Istanbul University Medical Faculty,Department of Biochemistry, School of Dentistry
[4] Marmara University,undefined
来源
Inflammation | 2008年 / 31卷
关键词
osteoarthritis; inflammation; coagulation; galectin-3; tissue factor;
D O I
暂无
中图分类号
学科分类号
摘要
Tendency to hypercoagulation is a common phenomenon in primary osteoarthritis patients (POA) undergoing total knee arthroplasty (TKA) surgery, but the clinical implications of this condition are not clear. Therefore we aimed to evaluate the inflammatory and coagulation parameters in the patient group and find a possible explanation for the tendency to hypercoagulation occurring in plasma and synovia of inflamed joints. Of the evaluated factors involved in inflammation and coagulation, galectin-3, C reactive protein (CRP), erythrocyte sedimentation rate (ESR), fibrinogen, FVIIa:C, FXII:C, and platelet count increased, whereas tissue factor (TF) activity in synovia, PT, APTT and FVII:C in plasma and synovia were decreased. In conclusion, activation of inflammation and tendency to hypercoagulation is observed in preoperative plasma and synovia of patients undergoing TKA surgery.
引用
收藏
页码:414 / 421
页数:7
相关论文
共 279 条
[1]  
Mukoba Y(2004)Perioperative hypercoagulability in patient with rheumatoid arthritis J. Anesth. 18 62-64
[2]  
Kawamata M(2007)Altered regulation of in vivo coagulation in orthopedic patients prior to knee or hip replacement surgery Blood Coagul. Fibrinolysis 18 219-225
[3]  
Craven S.(2002)Role for thrombin and fibrin(ogen) in cytokine/chemokine production and macrophage adhesion in vivo Blood 99 1053-1059
[4]  
Dewar L.(1991)Extravascular fibrin formatiıon and dissolution in synovial tissue of patients with osteoarthritis and rheumatoid arthritis Arthritis Rheu.m 34 996-1005
[5]  
Yang X.(2003)Fibrin generated in the synovial fluid activates intimal cells from their apical surface: a sequential morphological study in antigen-induced arthritis Rheumatology (Oxford) 42 19-25
[6]  
Ginsberg J.(2003)Arthritis is linked to local and systemic activation of coagulation and fibrinolysis J. Thromb. Haemost. 1 2510-2515
[7]  
Ofosu F. A.(2004)Galectins as inflammatory mediators Glycoconj. J. 19 575-581
[8]  
Szaba F. M.(1995)Expression and function of galectin-3, a beta-galactoside-binding lectin, in human monocytes and macrophages Am. J. Pathol. 147 1016-1028
[9]  
Smiley S. T.(2005)Galectin-3 and soluble fibrinogen act in concert to modulate neutrophil activation and survival: involvement of alternative MAPK pathways Glycobiology 15 519-127
[10]  
Brice-Weinberg J.(2005)Galectin-3 interacts with native and primed neutrophils, inducing innate immune responses J. Leukoc. Biol. 78 1127-1135