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Usefulness of histology for predicting infection at the time of hip revision for the treatment of Vancouver B2 periprosthetic fractures.
- Source :
-
The Journal of arthroplasty [J Arthroplasty] 2013 Sep; Vol. 28 (8), pp. 1247-50. Date of Electronic Publication: 2013 Mar 18. - Publication Year :
- 2013
-
Abstract
- When facing a Vancouver B2 periprosthetic fracture, the most recommended treatment is the prosthesis replacement. Current tests do not provide enough reliability to identify whether the fracture has been produced on a septic or an aseptic loosened prosthesis. Our aim was to evaluate the usefulness of the histology for the diagnosis of infection in these cases. A total of 11 hip revision procedures were performed (mean age: 78.1 years, 8 women and 3 men). Sensitivity, specificity, positive predictive value and negative predictive value of the histology were 100%, 55.5%, 33.3% and 100% respectively. Of the six patients presenting with a positive histology, four of them had negative cultures (66.6% of false positives). Our results suggest that periprosthetic fractures are a cause of false-positive histology results for the diagnosis of infection during revision of a hip prosthesis for the treatment of Vancouver B2 periprosthetic fractures.<br /> (Copyright © 2013 Elsevier Inc. All rights reserved.)
- Subjects :
- Aged
Aged, 80 and over
False Positive Reactions
Female
Femur microbiology
Humans
Male
Microbiological Techniques
Middle Aged
Periprosthetic Fractures classification
Predictive Value of Tests
Prosthesis-Related Infections microbiology
Reoperation
Retrospective Studies
Sensitivity and Specificity
Arthroplasty, Replacement, Hip
Femur pathology
Histological Techniques methods
Periprosthetic Fractures surgery
Prosthesis-Related Infections diagnosis
Prosthesis-Related Infections pathology
Subjects
Details
- Language :
- English
- ISSN :
- 1532-8406
- Volume :
- 28
- Issue :
- 8
- Database :
- MEDLINE
- Journal :
- The Journal of arthroplasty
- Publication Type :
- Academic Journal
- Accession number :
- 23518426
- Full Text :
- https://doi.org/10.1016/j.arth.2012.12.016