RT Journal Article
SR Electronic
T1 Low Diagnostic Value of Synovial Aspiration Culture Prior to Reimplantation in Periprosthetic Joint Infection
JF In Vivo
JO In Vivo
FD International Institute of Anticancer Research
SP 2409
OP 2416
DO 10.21873/invivo.12518
VO 35
IS 4
A1 CHRISTIAN MACKE
A1 STEFAN LENHOF
A1 TILMAN GRAULICH
A1 MARCUS ÖRGEL
A1 TAREK OMAR-PACHA
A1 TIMO STÜBIG
A1 CHRISTIAN KRETTEK
A1 MOHAMED OMAR
YR 2021
UL http://iv.iiarjournals.org/content/35/4/2409.abstract
AB Background/Aim: We aimed to determine the diagnostic value of the synovial aspiration culture prior to reimplantation in two- (or more) stage exchange of periprosthetic joint infection. Patients and Methods: This was a retrospective study, spanning over ten years including all synovial cultures of patients with two- (or more) stage exchange due to periprosthetic joint infection. Results: A total of 183 patients were included, mean age was 66.6 years (range=12.8-93.4 years). Overall sensitivity of synovial aspiration cultures before reimplantation was 56.6%, specificity 84.6%, negative predictive value (NPV) 63.8%, positive predictive value (PPV) 80.2%, area under the curve (AUC) 70.6%. Sensitivity of the knee in comparison to the hip culture was significantly higher, as well as the NPV and the AUC (p=0.038). In case of complete removal of prosthesis, the sensitivity and AUC were significantly reduced, whereas the specificity was comparable with prosthesis in situ, partial removal or complete removal. Conclusion: Due to the low sensitivity, obtaining several synovial cultures in the prosthesis-free interval to exclude persistence of infection, does not seem reasonable.