测量滑膜生物标志物在诊断感染性全踝关节置换术（TAA）中的作用如何？
Is There a Role for Measuring Synovial Biomarkers for Diagnosis of Infected Total Ankle Arthroplasty (TAA)?
机构信息
1 Ain Shams University Hospitals, Cairo, Egypt.
2 University of Manitoba, Winnipeg, MB, Canada.
出版信息
Foot Ankle Int. 2019 Jul;40(1_suppl):27S-29S. doi: 10.1177/1071100719859570.
RECOMMENDATION
Based on the hip and knee arthroplasty literature, measuring synovial biomarkers may play a role in the diagnosis of infected total ankle arthroplasty (TAA). The diagnosis of periprosthetic joint infection (PJI) in the setting of a TAA can be confirmed with cultures, provided that a plausible pathogen is recovered in the context of a compatible clinical picture. In the absence of a positive culture, synovial biomarker analysis may help in establishing the diagnosis.
LEVEL OF EVIDENCE
Moderate.
DELEGATE VOTE
Agree: 92%, Disagree: 8%, Abstain: 0% (Super Majority, Strong Consensus).
建议
根据髋关节和膝关节置换术文献，测量滑液生物标志物可能有助于诊断感染性全踝关节置换术（TAA）。如果在具有相容临床特征的情况下从假体周围关节感染（PJI）中获得了合理的病原体，那么可以通过培养来确认 TAA 中的 PJI 诊断。如果培养结果为阴性，那么滑膜生物标志物分析可能有助于诊断。
证据等级
中等。
代表投票
同意：92%，不同意：8%，弃权：0%（超级多数，强烈共识）。
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