Laboratory analysis in the assessment of painful total knee arthroplasty

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dc.contributor.author Munro, Jacob en
dc.contributor.author Garbuz, DS en
dc.contributor.author Greidanus, NV en
dc.contributor.author Duncan, CP en
dc.contributor.author Masri, BA en
dc.contributor.editor Hirschmann, M en
dc.contributor.editor Becker, R en
dc.date.accessioned 2020-09-16T05:01:14Z en
dc.date.available 2020-09-16T05:01:14Z en
dc.date.issued 2016-05-14 en
dc.identifier.isbn 3319080989 en
dc.identifier.isbn 9783319080987 en
dc.identifier.uri http://hdl.handle.net/2292/52901 en
dc.description.abstract Careful use of laboratory investigations is an essential component in the workup of the painful total knee replacement (TKR). For the most part, these tests will be used to diagnose or exclude infection. In all cases, the C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR) should be obtained. Aspiration of synovial fluid should be obtained when the CRP or ESR is abnormal or when there is high clinical suspicion for infection, although some advocate routine aspiration. Aspirated fluid is assessed for white blood cell count (WBC) and polymorphonuclear (PMN) neutrophil differential. Higher levels of synovial WBC and PMN differential should be expected following recent TKR. Aspiration is the first opportunity to obtain culture, essential to direct antibiotic therapy. Surgeons should be familiar with the relative sensitivity and specificity of all tests especially in combination, as well as the cutoff levels appropriate to the presenting patient. en
dc.publisher Springer en
dc.relation.ispartof The Unhappy Total Knee Replacement A Comprehensive Review and Management Guide en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.subject Medical en
dc.title Laboratory analysis in the assessment of painful total knee arthroplasty en
dc.type Book Item en
dc.identifier.doi 10.1007/978-3-319-08099-4_32 en
dc.rights.holder Copyright: The author en
pubs.author-url https://www.google.co.nz/books/edition/The_Unhappy_Total_Knee_Replacement/5IaQCgAAQBAJ en
dc.rights.accessrights http://purl.org/eprint/accessRights/RestrictedAccess en
pubs.elements-id 530739 en
pubs.org-id Medical and Health Sciences en
pubs.org-id School of Medicine en
pubs.org-id Surgery Department en
pubs.record-created-at-source-date 2016-06-15 en


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