What preoperative screening for infections should be performed in patients undergoing revision hip or knee arthroplasty because of presumed aseptic failure?

What preoperative screening for infections should be performed in patients undergoing revision hip or knee arthroplasty because of presumed aseptic failure?

Authors: Matthew Austin, Mark Spangehl, Max Greenky

RECOMMENDATION: In addition to taking a thorough history, obtaining radiographic imaging and performing a physical examination, all patients with a failed hip or knee arthroplasty awaiting revision surgery should have their serum erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) measured. Patients with high index of suspicion for infection should be considered for further workup.

LEVEL OF EVIDENCE: Moderate

DELEGATE VOTE: Agree: 96%, Disagree: 4%, Abstain: 0% (Unanimous, Strongest Consensus)

hk04

%d bloggers like this: