medigraphic.com
ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2008, Number 2

<< Back Next >>

Acta Ortop Mex 2008; 22 (2)

Descriptive analysis of C-Reactive values after uncomplicated total hip and knee arthroplasty

Almeida HF, López LR, Muñoz AS

Language: Spanish
References: 25
Page: 80-84
PDF size: 108.94 Kb.


ABSTRACT

Serum C-Reactive Protein was measured serially in 45 patients treated with uncomplicated primary total hip and knee arthroplasty (24 THR y 21 TKR). Blood specimens were obtained before surgery, on surgery day and on the 2nd, 3rd, 5th, 13th, 42nd and 150th postoperative days. In both groups serum CRP levels increased rapidly after surgery, with maximum levels on second postoperative day, higher in the TKR group and decreased gradually to preoperative levels on day 150, but still high on 42nd day. Levels returned to normal after surgery at the same time in both groups and no significant differences were found. Rising CRP levels after the third postoperative day may suggest a surgery complication such as infection.


REFERENCES

  1. Aalto K, Österman K, Peltola H, Rasanen J: Changes in erythrocyte sedimentation rate ans C-reactive protein after total hip arthroplasty. Clin Orthop 1984; 184: 118-20.

  2. Bilgen ÖF, Atici T, Durak K, Karaeminogullari O, Bilgen MS: C-reactive protein values and erythrocyte rates after total hip and total knee arthroplasty. J Int Med Res 2001; 29: 7-12.

  3. Blomqvist L, Malm M, Berg A, Svelander L, Kleinau S: The inflammatory reaction in elective flap surgery. Plast Reconstr Surg 1998; 101: 1524-8.

  4. Carlsson A: Erythrocyte sedimentation rate in infected and non-infected total-hip arthroplasty. Acta Orthop Scand 1978; 49: 287-90.

  5. Choudhry RR, Rice RP, Triffitt PD, Harper WM, Gregg PJ: Plasma viscosity and C-reactive protein after total hip and knee arthroplasty. J Bone Joint Surg 1992; 74B: 523-4.

  6. Forster IW, Crawford R: Sedimentation rate in infected and uninfected total hip arthroplasty. Clin Orthop 1982; 168: 48-52.

  7. Gelman MI, Coleman RE, Stevens PM, Davey BW: Radiography, radionuclide imaging and arthrography in the evaluation of total hip and knee arthroplasty. Radiology 1978; 128: 677-82.

  8. Itasaka T, Kawal A, Sato T, Mitani S, Inoue H: Diagnosis of infection after total hip arthroplasty. J Orthop Sci 2001; 6: 320-6.

  9. Kallio P, Michelsson J, Lalla M, Holm T: C-reactive protein in tibial fractures. J Bone Joint Surg 1990; 72B: 615-7.

  10. Kolstad K, Levander H: Inflammatory laboratory tests after joint replacement surgery. Ups J Med Sci 1995; 100: 243-8.

  11. Larsson S, TheLander U, Friberg S: C-reactive protein (CRP) levels after elective orthopaedic surgery. Clin Orthop 1992; 275: 237-42.

  12. Lyons CW, Berquist TH, Lyons JC, Rand JA, Brown ML: Evaluation of radiographic findings in painful hip arthroplasties. Clin Orthop 1985; 195: 239-51.

  13. Margheritini F, Camillieri G, Mancini L, Mariani P. C-reactive protein and erythrocyte sedimentation rate changes following arthroscopically assisted anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc 2001; 9: 343-5.

  14. Maury CPJ, Teppo AM, Raunio P: Control of the acute phase serum amyloid A and C-reactive protein response: comparison of total replacement of the hip and knee. Eur J Clin Invest 1984; 14: 323-8.

  15. Niskanen RO, Korkala O, Pammo H: Serum C-reactive protein levels after total hip and knee arthroplasty. Clin Orthop 1982; 168: 48-52.

  16. Peltola H, Vahvanen V, Aalto K: Fever, C-reactive protein and erythrocite sedimentation rate in monitoring recovery from septic artritis. J Pediatr Orthop 1984; 4: 170-4.

  17. Sanzen L, Carlsson AS: The diagnostic value of C-reactive protein in infected total hip arthroplasties. J Bone Joint Surg 1989; 71-B: 638-41.

  18. Scherer M, Neumaier M, Von Gumppenberg S: C-reactive protein in patients who had operative fracture treatment. Clin Orthop 2001; 393: 287-93.

  19. Shanbhag AS, Jacobs JJ, Black J, Galante JO, Glant TT: Human monocyte response to particulate biomaterials generated in vivo and in vitro. J Orthop Res 1995; 13: 792-801.

  20. Shih LY, Wu JJ, Yang DY: Erythrocyte sedimentation rate and C-reactive protein values in patients with total hip arthroplasty. Clin Orthop 1987; 225: 238-46.

  21. Spangehl MJ, Younger ASE, Masri BA, Duncan CP: Diagnosis of infection following total hip arthroplasty. Instr Course Lect 1998; 47: 285-95.

  22. Takahashi J, Ebara S, Kamimura M, Kinoshita T, Itoh H, Yuzawa Y: Early-phase enhanced inflammatory reaction after spinal instrumentation surgery. Spine 2001; 26: 1698-1701.

  23. Tillett WM, Francis Jr Titt WM, Francis Jr T: Serological reactions in pneumonia with a non-protein somatic fraction of pneumococcus. J Exp Med 1930; 52: 561-71.

  24. White J, Kelly M, Dunsmuir R: C-reactive protein level after total hip and total knee replacement. J Bone Joint Surg 1998; 80-B: 909-11.

  25. Wroblewski BM: ESR and polymethyl-methacrylate. J R Coll Surg Edinb 1974; 19: 182-5.




2020     |     www.medigraphic.com