[Translated article] Clinical validity of the intraoperative histology in the diagnosis of prosthetic joint infection.
Rev Esp Cir Ortop Traumatol
; 67(1): T21-T26, 2023.
Article
em En, Es
| MEDLINE
| ID: mdl-36243389
ABSTRACT
BACKGROUND AND AIM:
Different authors have demonstrated the usefulness of the histological analysis in the diagnosis of prosthetic joint infection; however, its clinical validity is still controversial. The aim of this article is to describe and analyse the clinical validity of histological analysis in the diagnosis of prosthetic infection in patients undergoing hip or knee prosthetic replacement. MATERIAL ANDMETHODS:
We present a retrospective study including 133 hip and knee prosthetic replacements performed in our centre between 2008 and 2020. A descriptive, bivariate statistical analysis was performed and the clinical validity of the histological analysis was determined.OUTCOMES:
The clinical validity of the intraoperative histology offered a sensitivity of 48%, a specificity of 91%, a positive predictive value of 55% and a negative predictive value of 88%.CONCLUSIONS:
The determination of the clinical validity of histological analysis shows a high specificity. This analysis is an appropriate diagnostic tool for detecting healthy patients, with no infection.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Artrite Infecciosa
/
Infecções Relacionadas à Prótese
/
Artroplastia de Quadril
/
Artroplastia do Joelho
Tipo de estudo:
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Humans
Idioma:
En
/
Es
Revista:
Rev Esp Cir Ortop Traumatol
Ano de publicação:
2023
Tipo de documento:
Article