数字式远红外热成像技术在诊断感染性膝关节假体中的价值：一项前瞻性队列研究。
Value of digital telethermography for the diagnosis of septic knee prosthesis: a prospective cohort study.
机构信息
Dipartimento di Chirurgia Ricostruttiva e delle Infezioni Osteo-articolari, Istituto Ortopedico IRCCS Galeazzi - Via Riccardo Galeazzi 4, Milano, 20166 Italy.
出版信息
BMC Musculoskelet Disord. 2013 Jan 4;14:7. doi: 10.1186/1471-2474-14-7.
Abstract
BACKGROUND
Diagnosis of peri-prosthetic infection remains challenging, often requiring a combination of different tests.
METHODS
In this prospective, case-control study, the diagnostic accuracy of telethermography was evaluated in a group of seventy patients who had had a total knee replacement and were undergoing a reoperation because of infection or another implant-related problem, after a minimum of one year from implant.
RESULTS
An average differential temperature of the affected versus not affected knee of 1.9 °C was observed in infected prosthesis, compared to 0.3 °C in aseptic failures. Considering a normal reference value equal or less than 1.0 °C, telethermography showed an accuracy, sensitivity, specificity, positive and negative predictive value of, respectively: 0.90, 0.89, 0.91, 0.91, 0.88.
CONCLUSIONS
Digital telethermography is a reliable option for diagnosing peri-prosthetic knee infection.
摘要
背景
人工关节周围感染的诊断仍然具有挑战性，通常需要结合使用不同的测试方法。
方法
在这项前瞻性病例对照研究中，对 70 名接受全膝关节置换术并因感染或其他与植入物相关的问题而在植入后至少 1 年再次手术的患者进行了远程热成像诊断准确性评估。
结果
在感染性假体中，受影响与不受影响的膝关节之间的平均温差为 1.9°C，而无菌性失败的温差为 0.3°C。考虑到正常参考值等于或小于 1.0°C，远程热成像的准确性、敏感性、特异性、阳性预测值和阴性预测值分别为 0.90、0.89、0.91、0.91 和 0.88。
结论
数字远程热成像技术是诊断膝关节假体周围感染的可靠选择。
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本文引用的文献
1
New definition for periprosthetic joint infection: from the Workgroup of the Musculoskeletal Infection Society.
Clin Orthop Relat Res. 2011 Nov;469(11):2992-4. doi: 10.1007/s11999-011-2102-9.
2
Healing of surgical site after total hip and knee replacements show similar telethermographic patterns.
J Orthop Traumatol. 2011 Jun;12(2):81-6. doi: 10.1007/s10195-011-0135-1. Epub 2011 May 5.
3
Telethermographic findings after uncomplicated and septic total knee replacement.
Knee. 2012 Jun;19(3):193-7. doi: 10.1016/j.knee.2011.02.012. Epub 2011 Mar 26.
4
Combined Diagnostic Tool for joint prosthesis infections.
Infez Med. 2009 Sep;17(3):141-50.
5
The epidemiology of revision total knee arthroplasty in the United States.
Clin Orthop Relat Res. 2010 Jan;468(1):45-51. doi: 10.1007/s11999-009-0945-0. Epub 2009 Jun 25.
6
Infrared digital telethermography: a new method for early detection of varicocele.
Fertil Steril. 2009 Jul;92(1):361-2. doi: 10.1016/j.fertnstert.2008.10.027. Epub 2008 Dec 18.
7
Use of erythrocyte sedimentation rate and C-reactive protein level to diagnose infection before revision total knee arthroplasty. A prospective evaluation.
J Bone Joint Surg Am. 2007 Jul;89(7):1409-16. doi: 10.2106/JBJS.D.02602.
8
The historical development of thermometry and thermal imaging in medicine.
J Med Eng Technol. 2006 Jul-Aug;30(4):192-8. doi: 10.1080/03091900600711332.
9
The historical development of thermal imaging in medicine.
Rheumatology (Oxford). 2004 Jun;43(6):800-2. doi: 10.1093/rheumatology/keg009.
10
New developments in diagnosis and treatment of infection in orthopedic implants.
Clin Infect Dis. 2001 Sep 1;33 Suppl 2:S94-106. doi: 10.1086/321863.
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