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

Authors: Matt hew 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)

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