Is normalization of serological markers necessary prior to reimplantation arthroplasty performed as part of a two-stage exchange?

Authors: Marco Teloken, Scott Sporer

RECOMMENDATION: No. A trend and decline in C-reactive protein (CRP) and erthyrocyte sedimentation rate (ESR) is expected, but we still recognize that there are certain cases in which reimplantation may be performed despite abnormal levels of ESR and CRP. Surgeons should not wait for complete normalization of the inflammatory markers as this may not occur in some patients and/or take a long period of time.

LEVEL OF EVIDENCE: Moderate

DELEGATE VOTE: Agree: 95%, Disagree: 4%, Abstain: 1% (Unanimous, Strongest Consensus)