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Are synovial inflammatory markers increased in patients who have aseptic total hip arthroplasty dislocation indicated for revision?

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Are synovial inflammatory markers increased in patients who have aseptic total hip arthroplasty dislocation indicated for revision? / Hubert, Jan; Ritter, Jacob; Krüger, Lara; Simon, Alexander; Beil, Frank Timo; Jandl, Nico Maximilian; Rolvien, Tim.

In: J ARTHROPLASTY, Vol. 39, No. 3, 03.2024, p. 787-794.e1.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Hubert, J, Ritter, J, Krüger, L, Simon, A, Beil, FT, Jandl, NM & Rolvien, T 2024, 'Are synovial inflammatory markers increased in patients who have aseptic total hip arthroplasty dislocation indicated for revision?', J ARTHROPLASTY, vol. 39, no. 3, pp. 787-794.e1. https://doi.org/10.1016/j.arth.2023.08.054

APA

Hubert, J., Ritter, J., Krüger, L., Simon, A., Beil, F. T., Jandl, N. M., & Rolvien, T. (2024). Are synovial inflammatory markers increased in patients who have aseptic total hip arthroplasty dislocation indicated for revision? J ARTHROPLASTY, 39(3), 787-794.e1. https://doi.org/10.1016/j.arth.2023.08.054

Vancouver

Hubert J, Ritter J, Krüger L, Simon A, Beil FT, Jandl NM et al. Are synovial inflammatory markers increased in patients who have aseptic total hip arthroplasty dislocation indicated for revision? J ARTHROPLASTY. 2024 Mar;39(3):787-794.e1. https://doi.org/10.1016/j.arth.2023.08.054

Bibtex

@article{c894fe94e8634c769e0d3d615c3dd1af,
title = "Are synovial inflammatory markers increased in patients who have aseptic total hip arthroplasty dislocation indicated for revision?",
abstract = "BACKGROUND: Previous studies have speculated on elevated synovial inflammatory markers in patients undergoing surgical revision for total hip arthroplasty (THA) dislocation. However, this assumption is based on small patient series and a full investigation according to International Consensus Meeting (ICM) criteria has not yet been performed.METHODS: Patients who had aseptic THA dislocation indicated for revision surgery were identified retrospectively. Only patients who had available diagnostic workup according to ICM 2018 criteria, including preoperative and intraoperative parameters, were included. For comparison, we analyzed a matched cohort of patients indicated for aseptic THA revision for other conditions. The 2 cohorts each consisted of 55 patients and were not different regarding age, sex, BMI, or implant fixation.RESULTS: There was no difference in synovial white blood cell count (2,238 ± 2,544 versus 2,533 ± 3,448 c/μL; P = .601), alpha-defensin quotient (0.14 ± 0.11 versus 0.19 ± 0.28; P = .207), or polymorphonuclear neutrophil percentage (% PMN) (36.7 ± 22.6 versus 31.3 ± 24.5%; P = .312) between the groups. In the dislocation cohort, 20% of patients had a synovial white blood cell count of 3,000 c/μL or higher, compared with 18% in the control cohort. However, all patients in the dislocation cohort were below the cutoff for alpha-defensin or % PMN.CONCLUSION: In patients who have aseptic THA dislocation, synovial inflammatory markers are not elevated compared with patients undergoing aseptic revision for other complications. A detailed preoperative analysis of synovial inflammatory markers using ICM criteria appears critical in patients who have a THA dislocation to exclude periprosthetic joint infection.LEVEL OF EVIDENCE: Level III, retrospective, comparative study.",
author = "Jan Hubert and Jacob Ritter and Lara Kr{\"u}ger and Alexander Simon and Beil, {Frank Timo} and Jandl, {Nico Maximilian} and Tim Rolvien",
note = "Copyright {\textcopyright} 2023 Elsevier Inc. All rights reserved.",
year = "2024",
month = mar,
doi = "10.1016/j.arth.2023.08.054",
language = "English",
volume = "39",
pages = "787--794.e1",
journal = "J ARTHROPLASTY",
issn = "0883-5403",
publisher = "Churchill Livingstone",
number = "3",

}

RIS

TY - JOUR

T1 - Are synovial inflammatory markers increased in patients who have aseptic total hip arthroplasty dislocation indicated for revision?

AU - Hubert, Jan

AU - Ritter, Jacob

AU - Krüger, Lara

AU - Simon, Alexander

AU - Beil, Frank Timo

AU - Jandl, Nico Maximilian

AU - Rolvien, Tim

N1 - Copyright © 2023 Elsevier Inc. All rights reserved.

PY - 2024/3

Y1 - 2024/3

N2 - BACKGROUND: Previous studies have speculated on elevated synovial inflammatory markers in patients undergoing surgical revision for total hip arthroplasty (THA) dislocation. However, this assumption is based on small patient series and a full investigation according to International Consensus Meeting (ICM) criteria has not yet been performed.METHODS: Patients who had aseptic THA dislocation indicated for revision surgery were identified retrospectively. Only patients who had available diagnostic workup according to ICM 2018 criteria, including preoperative and intraoperative parameters, were included. For comparison, we analyzed a matched cohort of patients indicated for aseptic THA revision for other conditions. The 2 cohorts each consisted of 55 patients and were not different regarding age, sex, BMI, or implant fixation.RESULTS: There was no difference in synovial white blood cell count (2,238 ± 2,544 versus 2,533 ± 3,448 c/μL; P = .601), alpha-defensin quotient (0.14 ± 0.11 versus 0.19 ± 0.28; P = .207), or polymorphonuclear neutrophil percentage (% PMN) (36.7 ± 22.6 versus 31.3 ± 24.5%; P = .312) between the groups. In the dislocation cohort, 20% of patients had a synovial white blood cell count of 3,000 c/μL or higher, compared with 18% in the control cohort. However, all patients in the dislocation cohort were below the cutoff for alpha-defensin or % PMN.CONCLUSION: In patients who have aseptic THA dislocation, synovial inflammatory markers are not elevated compared with patients undergoing aseptic revision for other complications. A detailed preoperative analysis of synovial inflammatory markers using ICM criteria appears critical in patients who have a THA dislocation to exclude periprosthetic joint infection.LEVEL OF EVIDENCE: Level III, retrospective, comparative study.

AB - BACKGROUND: Previous studies have speculated on elevated synovial inflammatory markers in patients undergoing surgical revision for total hip arthroplasty (THA) dislocation. However, this assumption is based on small patient series and a full investigation according to International Consensus Meeting (ICM) criteria has not yet been performed.METHODS: Patients who had aseptic THA dislocation indicated for revision surgery were identified retrospectively. Only patients who had available diagnostic workup according to ICM 2018 criteria, including preoperative and intraoperative parameters, were included. For comparison, we analyzed a matched cohort of patients indicated for aseptic THA revision for other conditions. The 2 cohorts each consisted of 55 patients and were not different regarding age, sex, BMI, or implant fixation.RESULTS: There was no difference in synovial white blood cell count (2,238 ± 2,544 versus 2,533 ± 3,448 c/μL; P = .601), alpha-defensin quotient (0.14 ± 0.11 versus 0.19 ± 0.28; P = .207), or polymorphonuclear neutrophil percentage (% PMN) (36.7 ± 22.6 versus 31.3 ± 24.5%; P = .312) between the groups. In the dislocation cohort, 20% of patients had a synovial white blood cell count of 3,000 c/μL or higher, compared with 18% in the control cohort. However, all patients in the dislocation cohort were below the cutoff for alpha-defensin or % PMN.CONCLUSION: In patients who have aseptic THA dislocation, synovial inflammatory markers are not elevated compared with patients undergoing aseptic revision for other complications. A detailed preoperative analysis of synovial inflammatory markers using ICM criteria appears critical in patients who have a THA dislocation to exclude periprosthetic joint infection.LEVEL OF EVIDENCE: Level III, retrospective, comparative study.

U2 - 10.1016/j.arth.2023.08.054

DO - 10.1016/j.arth.2023.08.054

M3 - SCORING: Journal article

C2 - 37611677

VL - 39

SP - 787-794.e1

JO - J ARTHROPLASTY

JF - J ARTHROPLASTY

SN - 0883-5403

IS - 3

ER -