Predicting Success of Two-Stage Exchange for Prosthetic Joint Infection Using C-Reactive ProteinAlbumin Ratio
Joint Authors
Seyler, Thorsten M.
Hong, Cierra S.
Ryan, Sean P.
Gabor, Jonathan A.
Bergen, Michael A.
Schwarzkopf, Ran
Source
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-05-02
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Two-stage exchange is most commonly used for treatment of prosthetic joint infections (PJI) but, this may fail to eradicate infections.
C-reactive protein/albumin ratio (CAR) has been used to predict survival and operative success in other surgical subspecialties and so, we assess the association between CAR and reimplantation success during two-stage revision for PJI defined by the Musculoskeletal Infection Society following a primary total hip (THA) or knee (TKA) arthroplasty.
From January, 2005 to December, 2015, two institutional databases were queried and patient demographics, antibiotic duration, C-reactive protein, and albumin were collected prior to reimplantation.
Two-stage revisions were considered successful if patients were off of antibiotics and did not require a repeat surgery.
CAR was available for 79 patients (34 hips and 46 knees) with 61 successful two-stage revisions and 18 failures.
The average CAR for patients with successful reimplantation was 1.2 (0.2, 3.0) compared to 1.0 (0.4, 3.2) for treatment failure.
However, this was not statistically significant (p=0.766).
Therefore, CAR is not applicable in predicting the prognosis of two-stage revisions for PJI in total arthroplasty but other preoperative inflammatory-based prognostic scores should be explored.
American Psychological Association (APA)
Hong, Cierra S.& Ryan, Sean P.& Gabor, Jonathan A.& Bergen, Michael A.& Schwarzkopf, Ran& Seyler, Thorsten M.. 2019. Predicting Success of Two-Stage Exchange for Prosthetic Joint Infection Using C-Reactive ProteinAlbumin Ratio. Advances in Orthopedics،Vol. 2019, no. 2019, pp.1-7.
https://search.emarefa.net/detail/BIM-1121626
Modern Language Association (MLA)
Hong, Cierra S.…[et al.]. Predicting Success of Two-Stage Exchange for Prosthetic Joint Infection Using C-Reactive ProteinAlbumin Ratio. Advances in Orthopedics No. 2019 (2019), pp.1-7.
https://search.emarefa.net/detail/BIM-1121626
American Medical Association (AMA)
Hong, Cierra S.& Ryan, Sean P.& Gabor, Jonathan A.& Bergen, Michael A.& Schwarzkopf, Ran& Seyler, Thorsten M.. Predicting Success of Two-Stage Exchange for Prosthetic Joint Infection Using C-Reactive ProteinAlbumin Ratio. Advances in Orthopedics. 2019. Vol. 2019, no. 2019, pp.1-7.
https://search.emarefa.net/detail/BIM-1121626
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1121626