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The Archives of Bone and Joint Surgery، جلد ۶، شماره ۵، صفحات ۰-۰
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عنوان انگلیسی Significance of Perioperative Tests to Diagnose the Infection in Revision Total Shoulder Arthroplasty
چکیده انگلیسی مقاله Background: The purpose of this study was to evaluate the value of perioperative tests for the diagnosis of infectionin revision shoulder arthroplasty.Methods: A retrospective analysis was performed on 537 shoulder arthroplasties (429 patients) that underwent revisionshoulder arthroplasty at our institution. Periprosthetic tissue cultures were positive in 169/537 surgeries.Results: White-blood cell count (WBC) was elevated in 3.8% revision arthroplasties. Erythrocyte sedimentation rate (ESR)was elevated in 23.1% revision arthroplasties. The C-reactive protein (CRP) was elevated in 20.8% revision arthroplasties.Bone scans (technetium, indium) were performed on 9.9% patients and it was positive for osteomyelitis in just one revisionarthroplasty. Intra-operative pathology was read as consistent with acute inflammation in 11.9% revision arthroplasties.The positive and negative predictive values for intra-operative pathology were 56.7% and 71.6% respectively.Conclusion: All of the perioperative tests had a high specificity and negative predictive value, but low sensitivity andpositive predictive value.Level of evidence: III
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نویسندگان مقاله | Shahryar Ahmadi
University of Arkansas for Medical Sciences


| Thomas M. Lawrence
Mayo Clinic


| Shawn Sahota
Mayo Clinic


| Cathy D. Schleck
Mayo Clinic


| William S. Harmsen
Mayo Clinic


| Robert H. Cofield
Mayo Clinic


| John W. Sperling
Mayo Clinic
نشانی اینترنتی http://abjs.mums.ac.ir/article_10283.html
فایل مقاله اشکال در دسترسی به فایل - ./files/site1/rds_journals/328/article-328-835185.pdf
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زبان مقاله منتشر شده en
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نوع مقاله منتشر شده RESEARCH PAPER
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