Survey the Level of C-Reactive Protein, Erythrocyte Sedimentation Rate and Complete Blood Count After Anterior Cruciate Ligament Reconstruction
Objective: Due to few lack of researches in the field of changes of inflammatory fac- tors after post-operative knee surgery in our country in order to improve the health status of the patients, in this study, erythrocyte sedimentation rate, C-reactive pro- tein and white blood cells changes after uncomplicated arthroscopic anterior cruci- ate ligament reconstruction of the knee were investigated. Material and Methods: In this prospective experimental study, patients undergoing arthroscopic anterior cruciate ligament reconstruction of the knee with uncomplicat- ed postoperative course in Imam Hospital were studied. Results: We included 60 patients, 56 (93.3%) were male and mean age of patients was 29.58±7.15 years. C-reactive protein levels peaked on the 2 nd post-operative day and then declined and returned to the pre-operative levels on 7 th day. erythrocyte sedi- mentation rate in patients after surgery has been peaked on the 2 nd post-operative day, and returned to the pre-operative levels 14 days after surgery. The age of the patients had a direct correlation with post-operative C-reactive protein on the seventh and twenty-eighth, respectively r = 0.39, p = 0.04 and r = 0.84, p = 0.009. Patient age had a direct correlation with erythrocyte sedimentation rate day 7 and 14, respectively r = 0.49, p = 0.012; r = 0.44, p = 0.046. Conclusion: Post-operative C-reactive protein and erythrocyte sedimentation rate levels returned to pre-operative levels in days two and fourteen respectively. If C-reactive protein and erythrocyte sedimentation rate levels not reduced after the seventh and fourteenth day, respectively or increase again, definitive diagnosis of in- fection should be investigated.
___
Wang C, Ao Y, Fan X, et al. C-reactive protein and eryth- rocyte sedimentation rate changes after arthroscopic anterior cruciate ligament reconstruction: guideline to diagnose and monitor postoperative infection. Arthroscopy 2014; 30(9): 1110-5.Yazdi H, Moradi A, Herbort M. The effect of gentamicin in irrigating solutions on articular infection prophylax- is during arthroscopic ACL reconstruction. Archives of orthopedic and trauma surgery 2014; 134(2): 257-61.
Whelan DB, HE Rosenberg, Yardley NJ. Managing the Infected ACL Reconstruction. In:RG Marx (ed). Revision ACL Reconstruction: Indıcations and Technique. 2014, New York; Springer, 2014: 157-169.
Calvo R, Figueroa D, Anastasiadis Z, et al. Septic arthritis in ACL reconstruction surgery with hamstring autografts. Eleven years of experience. The Knee 2014; 21(3): 717-20.
Im YM, Joo YB. Clinical Presentation of Staphylococcus epidermidis Septic Arthritis Following Anterior Cruciate Ligament Reconstruction. Knee surgery & related re- search 2012; 24(1): 46-51.
Jabalameli M, Rahbar M, Hadi H, et al. Septic arthritis of the knee following anterior cruciate ligament reconstruc- tion. Shafa Orthopedic Journal 2013; 1(2): 6-11.
Wang C, Ao Y, Wang J, et al. Septic arthritis after ar- throscopic anterior cruciate ligament reconstruction: a retrospective analysis of incidence, presentation, treat- ment, and cause. Arthroscopy 2009; 25(3): 243-9.
Mouzopoulos G, Fotopoulos VC, Tzurbakis M. Septic kneearthritis following ACL reconstruction: a systematic review. Knee Surgery, Sports Traumatology, Arthroscopy 2009; 17(9): 1033-42.
Margheritini F, Camillieri G, Mancini L, et al. C-reactive protein and erythrocyte sedimentation rate changes fol- lowing arthroscopically assisted anterior cruciate liga- ment reconstruction. Knee Surgery, Sports Traumatology, Arthroscopy 2001; 9(6): 343-5.
Larsson S, Thelander U, Friberg S. C-reactive protein (CRP) levels after elective orthopedic surgery. Clinical orthopae- dics and related research 1992; 275: 237-42.
Schutz R, Boukebous B, Boutroux P, et al. C-reactive pro- tein levels for early detection of early postoperative com- plications after proximal femoral fracture surgery. Eur J Orthop Surg Traumatol 2017. doi: 10.1007/s00590-017- 2080-z. [Epub ahead of print]
Spangehl MJ, Masri BA, O’Connell JX, et al. Prospective analysis of preoperative and intraoperative investigations for the diagnosis of infection at the sites of two hundred and two revision total hip arthroplasties. J Bone Joint Surg Am. 1999 May;81(5): 672-83.
Ruiz-Ibán MA, Díaz Heredia J, Martínez Val IC, et al. Evolution of C-reactive protein values in the first month after anterior cruciate ligament reconstruction: reference values. Knee Surg Sports Traumatol Arthrosc 2015 Mar; 23(3): 763-9. doi: 10.1007/s00167-013-2702-x. Epub 2013 Oct 11.
- ISSN: 2147-9488
- Yayın Aralığı: Yılda 4 Sayı
- Başlangıç: 2012
- Yayıncı: HACETTEPE ÜNİVERSİTESİ
Sayıdaki Diğer Makaleler
Great Saphenous Vein Occlusion with Cyanoacrylate: An Alternative to Endovenous Laser Ablation?
Fatma Gonca ELDEM, Selin ARDALI, Bora PEYNİRCİOĞLU
Salman GHAFFARİ, Masoud Shayesteh AZAR, Mohammad JAFARİ, Bahman GHAFFARİ
Trans-Anethole: A Key Compound in Bogma Raki
Ramazan AKCAN, Aykut LALE, Ali Rıza TÜMER
Giant Cervical Lipoma: A Case Report
ARDA KÜÇÜKGÜVEN, MERT ÇALIŞ, FATMA FİGEN ÖZGÜR
Factors Affecting Mortality in Planned Relaparotomy Performed Patients
NEZİH AKKAPULU, TİMUÇİN EROL, Mehmet Bulent TIRNAKSİZ, AHMET BÜLENT DOĞRUL
Regulatory Role of Chemerin in Lung Tumorigenesis and Cancer-associated Inflammation
Nese UNVER, Guldal Esendagli YILMAZ, Hande CANPİNA, Dicle GÜÇ, Güneş ESENDAĞLI