The Journal Of Bone And Joint Surgery - Current Concepts Review - Volume 97 - Issue 23 - p. 1962-1971

Diagnosis and Management of Periprosthetic Elbow Infection

Somerson Jeremy S., MD; Morrey Mark E., MD; Sanchez-sotelo Joaquin, MD, PhD; Morrey Bernard F., MD
Elbow
➤ Periprosthetic elbow infections rarely involve systemic symptoms such as fever or malaise.
➤ Unlike tests for periprosthetic hip and knee infections, the diagnostic utility of blood testing and joint aspiration for periprosthetic elbow infection has not been demonstrated to date.
➤ Intraoperative histological analysis has good specificity (93.1%) but very low sensitivity (51.3%) for periprosthetic elbow infection.
➤ Emerging diagnostic options such as implant sonication, molecular analysis, and advanced synovial fluid cytokine and protein analysis may reduce diagnostic uncertainty in the future.
➤ Recommended surgical treatment options for an infection at the site of an elbow arthroplasty include implant retention and debridement, two-stage revision with or without techniques for restoration of bone stock and triceps continuity, and resection arthroplasty.

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