[Translated article] Clinical validity of the intraoperative histology in the diagnosis of prosthetic joint infection.

Autor: Fernández-Hijano MR; Unidad de Cirugía Ortopédica y Traumatología, Hospital Universitario Virgen de la Victoria, Málaga, Spain. Electronic address: manuelfernandezhijanocot@gmail.com., Gómez-Palomo JM; Unidad de Cirugía Ortopédica y Traumatología, Hospital Universitario Virgen de la Victoria, Málaga, Spain; Instituto de Investigación Biomédica de Málaga (IBIMA), Málaga, Spain., Arranz-Salas I; Instituto de Investigación Biomédica de Málaga (IBIMA), Málaga, Spain; UGC Provincial de Anatomía Patológica de Málaga, Hospital Universitario Virgen de la Victoria, Málaga, Spain; Universidad de Málaga (UMA), Málaga, Spain., Hierro-Martín MI; Instituto de Investigación Biomédica de Málaga (IBIMA), Málaga, Spain; UGC Provincial de Anatomía Patológica de Málaga, Hospital Universitario Virgen de la Victoria, Málaga, Spain; Universidad de Málaga (UMA), Málaga, Spain., Zamora-Navas P; Unidad de Cirugía Ortopédica y Traumatología, Hospital Universitario Virgen de la Victoria, Málaga, Spain; Universidad de Málaga (UMA), Málaga, Spain.
Jazyk: English; Spanish; Castilian
Zdroj: Revista espanola de cirugia ortopedica y traumatologia [Rev Esp Cir Ortop Traumatol] 2023 Jan-Feb; Vol. 67 (1), pp. T21-T26. Date of Electronic Publication: 2022 Oct 13.
DOI: 10.1016/j.recot.2022.07.022
Abstrakt: 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 and Methods: 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.
(Copyright © 2022 SECOT. Publicado por Elsevier España, S.L.U. All rights reserved.)
Databáze: MEDLINE
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