What is the diagnostic accuracy of a frozen section (FS) during reimplantation surgery? What thresholds should be used in this context?

What is the diagnostic accuracy of a frozen section (FS) during reimplantation surgery? What thresholds should be used in this context?

Authors: Thomas W. Bauer, Veit Krenn, Vincent Krenn

RECOMMENDATION: Adequate peer-reviewed literature exists to support either of two diagnostic thresholds for supporting the diagnosis of periprosthetic infections of the hip and knee: 5 neutrophils (PMNs) in each of at least 5 high power (400X) microscopic fields (HPF), or 10 PMNs in each of at least 5 HPFs.

LEVEL OF EVIDENCE: Moderate

DELEGATE VOTE: Agree: 83%, Disagree: 10%, Abstain: 7% (Super Majority, Strong Consensus)

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