Significance of Perioperative Tests to Diagnose the Infection in Revision Total Shoulder Arthroplasty | ||
The Archives of Bone and Joint Surgery | ||
مقاله 4، دوره 6، شماره 5، آذر 2018، صفحه 359-364 اصل مقاله (399.64 K) | ||
نوع مقاله: RESEARCH PAPER | ||
شناسه دیجیتال (DOI): 10.22038/abjs.2017.24928.1671 | ||
نویسندگان | ||
Shahryar Ahmadi؛ Thomas M. Lawrence؛ Shawn Sahota؛ Cathy D. Schleck؛ William S. Harmsen؛ Robert H. Cofield؛ John W. Sperling* | ||
The Department of Orthopedic Surgery, Rochester, USA | ||
چکیده | ||
Background: The purpose of this study was to evaluate the value of perioperative tests for the diagnosis of infection in revision shoulder arthroplasty. Methods: A retrospective analysis was performed on 537 shoulder arthroplasties (429 patients) that underwent revision shoulder arthroplasty at our institution. Periprosthetic tissue cultures were positive in 169/537 surgeries. Results: White-blood cell count (WBC) was elevated in 3.8% revision arthroplasties. Erythrocyte sedimentation rate (ESR) was elevated in 23.1% revision arthroplasties. The C-reactive protein (CRP) was elevated in 20.8% revision arthroplasties. Bone scans (technetium, indium) were performed on 9.9% patients and it was positive for osteomyelitis in just one revision arthroplasty. Intra-operative pathology was read as consistent with acute inflammation in 11.9% revision arthroplasties. The positive and negative predictive values for intra-operative pathology were 56.7% and 71.6% respectively. Conclusion: All of the perioperative tests had a high specificity and negative predictive value, but low sensitivity and positive predictive value. Level of evidence: III | ||
کلیدواژهها | ||
Infection in Revisions Shoulder Arthroplasty؛ Perioperative Tests؛ shoulder؛ Shoulder Arthroplasty | ||
مراجع | ||
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