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Use of Common Inflammatory Markers in the Long-Term Screening of Total Hip Arthroprosthesis Infections: Our Experience
Joint Authors
Caraffa, A.
Meccariello, Luigi
Falzarano, Gabriele
Piscopo, Antonio
Grubor, Predrag
Rollo, Giuseppe
Medici, Antonio
Pipola, Valerio
Bisaccia, Michele
Barron, Elizabeth Mary
Cioffi, Raffaele
Nobile, Francesco
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-08-23
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Orthopedic implants have become essential components of modern medicine.
The risk of infection of total hip arthroplasty (THA) is 1.5%−2%.
Are the C-reactive protein (CRP), the erythrocyte sedimentation rate (ESR), and procalcitonin (PCT) good markers for THA infection screenings? From February 2009 to December 2012 at our Department of Orthopedics and Traumatology, 1248 patients were treated with THA.
No prosthesis was cemented.
All patients received antibiotic prophylaxis.
All patients were discharged approximately 7.4 days after surgery with this clinical and radiographic follow-up program at 15 days and 1, 3, 6, 12, 24, and 36 months after surgery.
Blood samples to determine ESR, CRP, and PCT values were taken at 1 hour before surgery and 15 days and 1, 3, 6, 12, 24, and 36 months after surgery.
During follow-ups there were 22 cases of THA infections; according the Widmer classification, infections are hematogenous ones in 16 cases, late chronic ones in 5 cases, and early postoperative ones in 1 case.
In all cases the three markers were considered positive; in 6 cases there were no radiological signs of septic loosening.
ESR, CRP, and PCT proved to have a greater diagnostic accuracy than X-rays in predicting late chronic and early postoperative infections.
These markers are valuable support for the surgeon in monitoring the prosthetic implant lifespan.
American Psychological Association (APA)
Falzarano, Gabriele& Piscopo, Antonio& Grubor, Predrag& Rollo, Giuseppe& Medici, Antonio& Pipola, Valerio…[et al.]. 2017. Use of Common Inflammatory Markers in the Long-Term Screening of Total Hip Arthroprosthesis Infections: Our Experience. Advances in Orthopedics،Vol. 2017, no. 2017, pp.1-7.
https://search.emarefa.net/detail/BIM-1125277
Modern Language Association (MLA)
Falzarano, Gabriele…[et al.]. Use of Common Inflammatory Markers in the Long-Term Screening of Total Hip Arthroprosthesis Infections: Our Experience. Advances in Orthopedics No. 2017 (2017), pp.1-7.
https://search.emarefa.net/detail/BIM-1125277
American Medical Association (AMA)
Falzarano, Gabriele& Piscopo, Antonio& Grubor, Predrag& Rollo, Giuseppe& Medici, Antonio& Pipola, Valerio…[et al.]. Use of Common Inflammatory Markers in the Long-Term Screening of Total Hip Arthroprosthesis Infections: Our Experience. Advances in Orthopedics. 2017. Vol. 2017, no. 2017, pp.1-7.
https://search.emarefa.net/detail/BIM-1125277
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1125277