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Old 05-19-2012
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Rheumatology/Orthopedics Management of Prosthetic Joint Infection

what will be the best step in management of prosthetic joint infection that's hot/swollen
is it
- joint Tap or
- X-ray/CT (to rule out bone involvement) or
- Remove the joint and Start Abx
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Old 05-19-2012
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I guess. It's remove and ab
Not sure though
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Old 05-19-2012
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merck manual said
Synovial fluid should be sampled for cell count and culture.
X-rays may show loosening of the prosthesis or periosteal reaction but are not diagnostic.
Technetium-99m bone scanning and indium-labeled WBC scanning are more sensitive than plain x-rays but may lack specificity in the immediate postoperative period.
Ultimately, periprosthetic tissue collected at the time of surgery may be sent for culture and histologic analysis
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