Accuracy of CT-guided joint aspiration and CT findings for prediction of infected hip prosthesis
Journal of Arthroplasty Apr 19, 2019
Isern-Kebschull J, et al. - In this study, 96 individuals were analyzed to examine the accuracy of computed tomography (CT)-guided joint aspiration combined with CT findings to predict the septic hip prosthesis prior revision surgery. They noticed septic hip prosthesis on revision surgery in 35 cases (36.4%), with isolation of Staphylococcus epidermidis in 54.3% of cases. They observed 86.5% of the accuracy of preoperative CT-guided joint aspiration. In 32 participants, they recorded a high volume (> 1 mL) of aspirated fluid. They noted high volume on CT aspiration, accumulation of soft tissue exceeding the joint margin, osteolysis without bone insufflation, and enlarged iliac lymph nodes as significant predictors of infected hip prosthesis.
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