Author:
Ottink Karsten D,Strahm Carol,Muller-Kobold Anneke,Sendi Parham,Wouthuyzen-Bakker Marjan
Abstract
Abstract. Synovial white blood cell (WBC) count and the percentage of polymorphonuclear leucocytes (PMN%) is one of the diagnostic criteria to diagnose a periprosthetic joint infection (PJI). Although the test is widely available, the diagnostic accuracy of proposed cut-off levels are influenced by several factors, such as: the affected joint, co-morbid conditions, the causative microorganism and the gathering and processing of samples in the laboratory. In this narrative review we provide an overview on how and to what extent these factors can affect the synovial WBC count and PMN% in synovial fluid.
Reference84 articles.
1. Anguita-Alonso P, Hanssen AD, Patel R. Prosthetic joint infection. Expert Rev. Anti-Inf. 2005;3:797–804.
2. Gundtoft PH, Overgaard S, Schønheyder HC. et al. The "true" incidence of surgically treated deep prosthetic joint infection after 32,896 primary total hip arthroplasties: a prospective cohort study. Acta Orthop. 2015;86:326–34. [PMC free article]
3. Parvizi J, Fassihi SC, Enayatollahi MA. Diagnosis of Periprosthetic Joint Infection Following Hip and Knee Arthroplasty. Orthop. Clin. North Am. 2016;47:505–15.
4. Ahmad SS, Becker R, Chen AF. et al. EKA survey: diagnosis of prosthetic knee joint infection. Knee Surg. Sports Traumatol. Arthrosc. 2016;24:3050–5.
5. Huerfano E, Bautista M, Huerfano M. et al. Screening for Infection Before Revision Hip Arthroplasty: A Meta-analysis of Likelihood Ratios of Erythrocyte Sedimentation Rate and Serum C-reactive Protein Levels. J Am Acad Orthop Surg. 2017;25:809–17.
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