E Carlos Rodriguez-Merchan1,2. 1. Research performed at the Department of Orthopaedic Surgery, La Paz University Hospital, Madrid, Spain. 2. Department of Orthopaedic Surgery, La Paz University Hospital-IdiPaz, Paseo de la Castellana, Madrid, Spain.
Abstract
BACKGROUND: Periprosthetic infection is the most serious joint replacement complication, occurring in 0.8-1.9% of total knee arthroplasties (TKAs).This review aims to define the role of preoperative aspiration culture (PAC) for diagnosis of TKA infection. METHODS: A PubMed (MEDLINE) search related to TKA infection and PAC was analyzed. The main criteria for selection were that the articles were focused in the aforementioned question. RESULTS: Twenty articles were found, but only fourteen were selected and reviewed because they were deeply focused on the topic. PAC has shown an average sensitivity of 67.6% (range, 28% to 100%) and an average specificity of 98.4% (range, 96% to 100%). CONCLUSION: PAC has moderate to high sensitivity and very high specificity for diagnosing TKA infection.
BACKGROUND: Periprosthetic infection is the most serious joint replacement complication, occurring in 0.8-1.9% of total knee arthroplasties (TKAs).This review aims to define the role of preoperative aspiration culture (PAC) for diagnosis of TKA infection. METHODS: A PubMed (MEDLINE) search related to TKA infection and PAC was analyzed. The main criteria for selection were that the articles were focused in the aforementioned question. RESULTS: Twenty articles were found, but only fourteen were selected and reviewed because they were deeply focused on the topic. PAC has shown an average sensitivity of 67.6% (range, 28% to 100%) and an average specificity of 98.4% (range, 96% to 100%). CONCLUSION: PAC has moderate to high sensitivity and very high specificity for diagnosing TKA infection.
Authors: Craig J Della Valle; Scott M Sporer; Joshua J Jacobs; Richard A Berger; Aaron G Rosenberg; Wayne G Paprosky Journal: J Arthroplasty Date: 2007-07-26 Impact factor: 4.757
Authors: K A Levitsky; W J Hozack; R A Balderston; R H Rothman; S J Gluckman; M M Maslack; R E Booth Journal: J Arthroplasty Date: 1991-09 Impact factor: 4.757
Authors: O Robineau; E Talagrand-Reboulh; B Brunschweiler; F Jehl; E Beltrand; F Rousseau; N Blondiaux; A Grillon; C Joseph; P Lambotte; P Boyer; Eric Senneville Journal: Eur J Clin Microbiol Infect Dis Date: 2021-05-20 Impact factor: 3.267