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Title: | Role of joint aspiration before re-implantation in patients with a cement spacer in place |
Author: | Huguet, Sandra Bernaus, Martí Gómez, Lucía Cuchí, Eva Soriano Viladomiu, Alex Font Vizcarra, Lluís |
Keywords: | Cirurgia ortopèdica Articulacions artificials Orthopedic surgery Artificial joints |
Issue Date: | 18-Jun-2022 |
Publisher: | Baishideng Publishing Group |
Abstract: | The usefulness of a mandatory joint aspiration before re-implantation in patients with a cement spacer already in place is unclear.To evaluate the role of culturing synovial fluid obtained by joint aspiration before re-implantation in patients who underwent a two-stage septic revision.A retrospective observational study was conducted, including patients that underwent a two-stage septic revision (hip or knee) from 2010 to 2017. After the first stage revision and according to intraoperative culture results, all patients were treated with an antibiotic protocol for 6-8 wk. Following 2 wk without antibiotics, a culture of synovial fluid was obtained. The results of these cultures were recorded and compared with cultures obtained during re-implantation surgery.Forty-one patients (20 hip and 21 knee spacers) were included in the final analysis. In 39 cases, the culture of synovial fluid was negative, while in the remaining 2 cases (knee spacers) no analysis was possible due to dry tap. In 5 of the patients, two or more intraoperative cultures taken during the re-implantation surgery were positive.We found no evidence to support mandatory joint aspiration before re-implantation in patients with a cement spacer in place.©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved. |
Note: | Reproducció del document publicat a: https://doi.org/10.5312/wjo.v13.i6.615 |
It is part of: | World Journal Of Orthopaedics, 2022, vol. 13, num. 6, p. 615-621 |
URI: | http://hdl.handle.net/2445/197941 |
Related resource: | https://doi.org/10.5312/wjo.v13.i6.615 |
ISSN: | 2218-5836 |
Appears in Collections: | Articles publicats en revistes (IDIBAPS: Institut d'investigacions Biomèdiques August Pi i Sunyer) |
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Role of joint aspiration before re-implantation in patients with a cement spacer in place.pdf | 1.55 MB | Adobe PDF | View/Open |
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