Serum D-Dimer Test Is Promising for the Diagnosis of Periprosthetic Joint Infection and Timing of Reimplantation
Author(s) -
Alisina Shahi,
Michael M. Kheir,
Majd Tarabichi,
Hamid Reza Seyyed Hosseinzadeh,
Timothy L. Tan,
Javad Parvizi
Publication year - 2017
Publication title -
journal of bone and joint surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.634
H-Index - 260
eISSN - 1058-2436
pISSN - 0021-9355
DOI - 10.2106/jbjs.16.01395
Subject(s) - medicine , periprosthetic , d dimer , erythrocyte sedimentation rate , gastroenterology , aseptic processing , prospective cohort study , c reactive protein , arthroplasty , cohort , surgery , inflammation
Despite the availability of a battery of tests, the diagnosis of periprosthetic joint infection (PJI) continues to be challenging. Serum D-dimer assessment is a widely available test that detects fibrinolytic activities that occur during infection. We hypothesized that patients with PJI may have a high level of circulating D-dimer and that the presence of a high level of serum D-dimer may be a sign of persistent infection in patients awaiting reimplantation.
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