[C-reactive protein as a postoperative parameter of infection in hip joint replacement and knee joint operations].
Prospectively 70 male patients with elective arthroplasty of the hip (n = 34) and with operation of the anterior cruciate ligament (n = 36) were studied in respect of the postoperative screening of C-reactive protein (CRP), the erythrocyte sedimentation rate (ESR), the white blood cell count and the clinical signs of infection. There were 9 infectious postoperative complications, all with an increase of CRP. But also 6 other patients with no clear infection showed a rise or a plateau of CRP, which could only be explained by the presence of a hematoma, an effusion or a subclinical infection. The close postoperative screening of CRP appeared to be quite costly and laborious, especially in a population with a low infection rate. We therefore suggest a CRP-screening only on patients or operative procedures with wellknown high risk. In addition we studied the determination of two CRP-levels with a short interval following the clinical suspect of a postoperative infection (described in part II of this paper).
Berufsgenossenschaftliche Unfallklinik Tübingen.
P M
PM
de Zwart
J E
JE
Müller
D000293:Adolescent; D000328:Adult; D000368:Aged; D016118:Anterior Cruciate Ligament / Q000601:surgery; D000070598:Anterior Cruciate Ligament Injuries; D015415:Biomarkers / Q000097:blood; D001799:Blood Sedimentation; D002097:C-Reactive Protein / Q000378:metabolism*; D006622:Hip Prosthesis; D006801:Humans; D007718:Knee Injuries / Q000097:blood / Q000601:surgery*; D007958:Leukocyte Count; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000097:blood / Q000175:diagnosis* / Q000601:surgery; D016459:Prosthesis-Related Infections / Q000097:blood / Q000175:diagnosis / Q000601:surgery; D012086:Reoperation; D013530:Surgical Wound Infection / Q000097:blood / Q000175:diagnosis* / Q000601:surgery
D015415:Biomarkers; D002097:C-Reactive Protein
CRP als postoperativer Infektionsparameter bei Hüftgelenksersatz- und Kniegelenksoperationen (Teil 1).