Current Concepts Review: Diagnosis and Management of Periprosthetic Elbow Infection

Jeremy S. Somerson, Mark E. Morrey, Joaquin Sanchez-Sotelo, Bernard F. Morrey

Research output: Contribution to journalArticlepeer-review

13 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)1962-1971
Number of pages10
JournalJournal of Bone and Joint Surgery - American Volume
Volume97
Issue number23
DOIs
StatePublished - Sep 2 2014
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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