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Insufficient sensitivity of joint aspiration during the two-stage exchange of the hip with spacers

Overview of attention for article published in Journal of Orthopaedic Surgery and Research, January 2018
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Title
Insufficient sensitivity of joint aspiration during the two-stage exchange of the hip with spacers
Published in
Journal of Orthopaedic Surgery and Research, January 2018
DOI 10.1186/s13018-017-0703-z
Pubmed ID
Authors

Sebastian Philipp Boelch, Manuel Weissenberger, Frederik Spohn, Maximilian Rudert, Martin Luedemann

Abstract

Evaluation of infection persistence during the two-stage exchange of the hip is challenging. Joint aspiration before reconstruction is supposed to rule out infection persistence. Sensitivity and specificity of synovial fluid culture and synovial leucocyte count for detecting infection persistence during the two-stage exchange of the hip were evaluated. Ninety-two aspirations before planned joint reconstruction during the two-stage exchange with spacers of the hip were retrospectively analyzed. The sensitivity and specificity of synovial fluid culture was 4.6 and 94.3%. The sensitivity and specificity of synovial leucocyte count at a cut-off value of 2000 cells/μl was 25.0 and 96.9%. C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR) values were significantly higher before prosthesis removal and reconstruction or spacer exchange (p = 0.00; p = 0.013 and p = 0.039; p = 0.002) in the infection persistence group. Receiver operating characteristic area under the curve values before prosthesis removal and reconstruction or spacer exchange for ESR were lower (0.516 and 0.635) than for CRP (0.720 and 0.671). Synovial fluid culture and leucocyte count cannot rule out infection persistence during the two-stage exchange of the hip.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 22 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 22 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 3 14%
Other 3 14%
Student > Ph. D. Student 2 9%
Professor 2 9%
Lecturer 1 5%
Other 4 18%
Unknown 7 32%
Readers by discipline Count As %
Medicine and Dentistry 13 59%
Unspecified 1 5%
Immunology and Microbiology 1 5%
Nursing and Health Professions 1 5%
Unknown 6 27%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 09 February 2018.
All research outputs
#17,929,042
of 23,023,224 outputs
Outputs from Journal of Orthopaedic Surgery and Research
#920
of 1,400 outputs
Outputs of similar age
#311,412
of 443,291 outputs
Outputs of similar age from Journal of Orthopaedic Surgery and Research
#10
of 17 outputs
Altmetric has tracked 23,023,224 research outputs across all sources so far. This one is in the 19th percentile – i.e., 19% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,400 research outputs from this source. They receive a mean Attention Score of 3.6. This one is in the 31st percentile – i.e., 31% of its peers scored the same or lower than it.
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We're also able to compare this research output to 17 others from the same source and published within six weeks on either side of this one. This one is in the 23rd percentile – i.e., 23% of its contemporaries scored the same or lower than it.