[SECOT consensus on painful knee replacement].
The opinions of 21 experts in knee surgery were evaluated in this study, using a DELPHI questionnaire method in two successive rounds, on 64 controversial scenarios that covered both the diagnosis and possible treatment of painful knee replacements. The level of consensus was significantly unanimous in 42 items and of the design in 5, with no agreement in 17 of the questions presented. light of the published scientific evidence, the surgeons who took part showed to have a notable level of information on the most effective diagnostic tests, although, it should be pointed out that there was a lack of confidence in the possibility of ruling out an infection when the erythrocyte sedimentation rate and the C-reactive protein were within normal values, which have been demonstrated in the literature to have a high negative predictive value As regards the treatments to employ in the different situations, the responses of the expert panel were mainly in agreement with the data in the literature. The conclusions of this consensus may help other surgeons when they are faced with a painful knee prosthesis.
Servicio de Cirugía Ortopédica y Traumatología, Hospital General Universitario Gregorio Marañón, Madrid, España. Electronic address: jvaquero.hgugm@salud.madrid.org.
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J
Vaquero
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F
Macule
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S
Bello
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Chana
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F
Forriol
D019645:Arthroplasty, Replacement, Knee / Q000009:adverse effects*; D017408:Guidelines as Topic; D006801:Humans; D007720:Knee Prosthesis / Q000009:adverse effects*; D010146:Pain / Q000209:etiology*; D011475:Prosthesis Failure; D016459:Prosthesis-Related Infections / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*; D011795:Surveys and Questionnaires
Artroplastia de rodilla; Consenso; Consensus; Knee replacement; Painful knee; Rodilla dolorosa