ANALYSIS OF TISSUE BIOPSY AND JOINT ASPIRATION IN THE DIAGNOSIS OF PERIPROSTHETIC HIP INFECTIONS: CROSS-SECTIONAL STUDY
ABSTRACT Objective: To evaluate sensitivity, specificity, accuracy, positive predictive value, and negative predictive value of preoperative joint aspiration (PJA) and periarticular tissue percutaneous biopsy (PTPB), as well as their combination, in the diagnosis of infection after total hip arthr...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Sociedade Brasileira de Ortopedia e Traumatologia
2021-09-01
|
| Series: | Acta Ortopédica Brasileira |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522021000500242&tlng=en |
| _version_ | 1798021636184604672 |
|---|---|
| author | ELTON ANDREOLLA MARCO BERNARDO CURY FERNANDES CARLA ORMUNDO GONÇALVES XIMENES LIMA AUGUSTO CARLOS MACIEL SARAIVA |
| author_facet | ELTON ANDREOLLA MARCO BERNARDO CURY FERNANDES CARLA ORMUNDO GONÇALVES XIMENES LIMA AUGUSTO CARLOS MACIEL SARAIVA |
| author_sort | ELTON ANDREOLLA |
| collection | DOAJ |
| description | ABSTRACT Objective: To evaluate sensitivity, specificity, accuracy, positive predictive value, and negative predictive value of preoperative joint aspiration (PJA) and periarticular tissue percutaneous biopsy (PTPB), as well as their combination, in the diagnosis of infection after total hip arthroplasty. Methods: This cross-sectional study (Level of Evidence II) was conducted with prospective data on 29 patients submitted to PJA with PTPB at the National Institute of Orthopedics and Traumatology from September 2015 to January 2016. Specimens obtained during the procedures underwent microbiological analyses, and the results were compared with those obtained in subsequent revision arthroplasty surgeries. Results: PJA, PTPB, and their combination reached values of 78%, 73%, 89% for sensitivity, respectively; 72%, 90%, 94% for specificity; and 76%, 80%, 90% for accuracy. Conclusions: PJA combined with PTPB was sensitive, specific, and effective in diagnosing periprosthetic hip infection. Level of Evidence II, Prospective Cross-Sectional Study |
| first_indexed | 2024-04-11T17:16:54Z |
| format | Article |
| id | doaj.art-651cfa980d1449549aec9bf990a9f3c5 |
| institution | Directory Open Access Journal |
| issn | 1413-7852 |
| language | English |
| last_indexed | 2024-04-11T17:16:54Z |
| publishDate | 2021-09-01 |
| publisher | Sociedade Brasileira de Ortopedia e Traumatologia |
| record_format | Article |
| series | Acta Ortopédica Brasileira |
| spelling | doaj.art-651cfa980d1449549aec9bf990a9f3c52022-12-22T04:12:36ZengSociedade Brasileira de Ortopedia e TraumatologiaActa Ortopédica Brasileira1413-78522021-09-0129524224510.1590/1413-785220212905241752ANALYSIS OF TISSUE BIOPSY AND JOINT ASPIRATION IN THE DIAGNOSIS OF PERIPROSTHETIC HIP INFECTIONS: CROSS-SECTIONAL STUDYELTON ANDREOLLAhttps://orcid.org/0000-0001-8562-3984MARCO BERNARDO CURY FERNANDEShttps://orcid.org/0000-0003-1157-6243CARLA ORMUNDO GONÇALVES XIMENES LIMAhttps://orcid.org/0000-0003-4649-5101AUGUSTO CARLOS MACIEL SARAIVAhttps://orcid.org/0000-0001-6408-3245ABSTRACT Objective: To evaluate sensitivity, specificity, accuracy, positive predictive value, and negative predictive value of preoperative joint aspiration (PJA) and periarticular tissue percutaneous biopsy (PTPB), as well as their combination, in the diagnosis of infection after total hip arthroplasty. Methods: This cross-sectional study (Level of Evidence II) was conducted with prospective data on 29 patients submitted to PJA with PTPB at the National Institute of Orthopedics and Traumatology from September 2015 to January 2016. Specimens obtained during the procedures underwent microbiological analyses, and the results were compared with those obtained in subsequent revision arthroplasty surgeries. Results: PJA, PTPB, and their combination reached values of 78%, 73%, 89% for sensitivity, respectively; 72%, 90%, 94% for specificity; and 76%, 80%, 90% for accuracy. Conclusions: PJA combined with PTPB was sensitive, specific, and effective in diagnosing periprosthetic hip infection. Level of Evidence II, Prospective Cross-Sectional Studyhttp://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522021000500242&tlng=enHip ArthroplastyInjections, Intra-ArticularLiquid BiopsyDiagnosisInfection |
| spellingShingle | ELTON ANDREOLLA MARCO BERNARDO CURY FERNANDES CARLA ORMUNDO GONÇALVES XIMENES LIMA AUGUSTO CARLOS MACIEL SARAIVA ANALYSIS OF TISSUE BIOPSY AND JOINT ASPIRATION IN THE DIAGNOSIS OF PERIPROSTHETIC HIP INFECTIONS: CROSS-SECTIONAL STUDY Acta Ortopédica Brasileira Hip Arthroplasty Injections, Intra-Articular Liquid Biopsy Diagnosis Infection |
| title | ANALYSIS OF TISSUE BIOPSY AND JOINT ASPIRATION IN THE DIAGNOSIS OF PERIPROSTHETIC HIP INFECTIONS: CROSS-SECTIONAL STUDY |
| title_full | ANALYSIS OF TISSUE BIOPSY AND JOINT ASPIRATION IN THE DIAGNOSIS OF PERIPROSTHETIC HIP INFECTIONS: CROSS-SECTIONAL STUDY |
| title_fullStr | ANALYSIS OF TISSUE BIOPSY AND JOINT ASPIRATION IN THE DIAGNOSIS OF PERIPROSTHETIC HIP INFECTIONS: CROSS-SECTIONAL STUDY |
| title_full_unstemmed | ANALYSIS OF TISSUE BIOPSY AND JOINT ASPIRATION IN THE DIAGNOSIS OF PERIPROSTHETIC HIP INFECTIONS: CROSS-SECTIONAL STUDY |
| title_short | ANALYSIS OF TISSUE BIOPSY AND JOINT ASPIRATION IN THE DIAGNOSIS OF PERIPROSTHETIC HIP INFECTIONS: CROSS-SECTIONAL STUDY |
| title_sort | analysis of tissue biopsy and joint aspiration in the diagnosis of periprosthetic hip infections cross sectional study |
| topic | Hip Arthroplasty Injections, Intra-Articular Liquid Biopsy Diagnosis Infection |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522021000500242&tlng=en |
| work_keys_str_mv | AT eltonandreolla analysisoftissuebiopsyandjointaspirationinthediagnosisofperiprosthetichipinfectionscrosssectionalstudy AT marcobernardocuryfernandes analysisoftissuebiopsyandjointaspirationinthediagnosisofperiprosthetichipinfectionscrosssectionalstudy AT carlaormundogoncalvesximeneslima analysisoftissuebiopsyandjointaspirationinthediagnosisofperiprosthetichipinfectionscrosssectionalstudy AT augustocarlosmacielsaraiva analysisoftissuebiopsyandjointaspirationinthediagnosisofperiprosthetichipinfectionscrosssectionalstudy |