Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
4059995 | The Journal of Arthroplasty | 2016 | 4 Pages |
BackgroundThe aim of this study was to assess the diagnostic performance of synovial aspiration in Girdlestone hips, without a Polymethylmethacrylate (PMMA) spacer, for the detection of infection persistence before total hip arthroplasty (THA) reimplantation.MethodsSeventy-four patients undergoing stage revision THA surgery were included in this retrospective cohort study. Both synovial cultures and serum C-reactive protein values were acquired before explantation of the THA and of the Girdlestone hip before reimplantation.ResultsThe diagnostic performance of the synovial aspiration of the Girdlestone hip achieved a sensitivity of only 13% and a specificity of 98%. The determination of the serum C-reactive protein value for Girdlestone hips achieved a sensitivity of 95% and a specificity of only 20%.ConclusionsOur data show that the Girdlestone aspiration can neither reliably confirm nor exclude a persistence of infection.