Normal CRP and WBC values in total hip arthroplasty (THA) with signs of loosening. Do we need a joint aspiration
Journal of Clinical Orthopaedics and Trauma(2019)
Abstract
The diagnosis of PJI can be difficult in THA with radiographic signs of loosening. Clinical features including pain, fever, and local sings of infection are uncommon especially a long period after index operation. First-line screening testing relies on serological evaluation of CRP and WBC. However, normal CRP and WBC values cannot rule out a PJI. These cases can be detected by joint aspiration and synovial cultures reliably.
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Key words
Total hip arthroplasty,Aseptic loosening,Periprosthetic joint infection
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