Academic Journal

Summary

التفاصيل البيبلوغرافية
العنوان: Summary
المؤلفون: Plamen S. Kinov, Teodor Z. Petrov, Dilyana Vasileva, Peter N. Tivchev, Plamen Kinov
المساهمون: The Pennsylvania State University CiteSeerX Archives
المصدر: http://jbcr.mu-pleven.bg/pdf/vol2no1/6.pdf.
سنة النشر: 2009
المجموعة: CiteSeerX
مصطلحات موضوعية: Key words, scintigraphy, hip arthroplasty. Original Article
الوصف: Loosening is the most common late complication of total hip arthroplasty. Although rare, low-grade infection often presents as prosthetic loosening and could be missed. There is controversy about the diagnostic value of bone scintigraphy and laboratory tests in patients suspected of having loosening. In this retrospective study, we evaluated the sensitivity and the specificity of different diagnostic modalities in patients suspected of having loosening of the hip arthroplasty. Seventeen patients (20 hips) with total hip arthroplasty and possible prosthetic loosening were examined with conventional radiography and three-phase bone scintigraphy. Results of microbiological examinations of joint aspiration and surgical specimens (9 patients), plus C-reactive protein level (CRP) and erythrocyte sedimentation rate (ESR) test, as well as clinical follow-up were evaluated in the twenty hips. Sensitivity, specificity and accuracy values were calculated. Five hips had septic, and three hips had aseptic loosening. In twelve cases, neither loosening nor infection was confirmed. For diagnosing infection with conventional radiography and bone scintigraphy, respectively, sensitivity values were 62.5 % and 87.5%; specificity- 80 % and 91.6%; and accuracy 85 % and 90%. For ESR and CRP, respectively, sensitivity
نوع الوثيقة: text
وصف الملف: application/pdf
اللغة: English
Relation: http://citeseerx.ist.psu.edu/viewdoc/summary?doi=10.1.1.627.6536; http://jbcr.mu-pleven.bg/pdf/vol2no1/6.pdf
الاتاحة: http://citeseerx.ist.psu.edu/viewdoc/summary?doi=10.1.1.627.6536
http://jbcr.mu-pleven.bg/pdf/vol2no1/6.pdf
Rights: Metadata may be used without restrictions as long as the oai identifier remains attached to it.
رقم الانضمام: edsbas.25FAB31
قاعدة البيانات: BASE