39-220

Valoración de los niveles de PCR tras artroplastia total de cadera

Reactive protein C (RPC) levels after non infected total hip arthroplasty

J.C. SALÓ CUENCA*, J.M. CARDONA VERNET*, M. SÁNCHEZ GIMENO*, P. FORCADA CALVET*, J.J. FERNÁNDEZ MARTÍNEZ*, M.J. SIERRA MOROS** *SERVICIO DE CIRUGÍA ORTOPÉDICA Y TRAUMATOLOGÍA. HOSPITAL UNIVERSITARIO ARNAU DE VILANOVA DE LLEIDA. * *INSTITUTO DE SALUD PÚBLICA CARLOS III. MADRID.
Recepción:
15/09/2008
Aceptación:
15/09/2008
Publicación:
15/09/2008


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Resumen (ES)

Objectives: To determine the physiological answer
of the reactive protein C (RPC) and the speed of globular sedimentation
(SGS) after non infected total hip arthroplasty (THA).
Material and methods: a descriptive study on a total sample of
20 patients suffering primary coxarthrosis and operated with
THA was performed (18 patients with cemented Auto-Fit
Prosthesis and 2 patients with cementless Prophor
Prosthesis). The values of SGS, RPC, fibrinogen and morning
body temperature were determined before the surgical procedure
and on day 1, 2, 3, 7, 14 and 90 after it. Results: an ANOVA
test was used for repeated measurements of the obtained
results. There were statistically significant differences in the
levels of RPC obtained in the different days of the study
(p<0.001), obtaining the highest levels of it on day 2 after surgery
and highly decreasing from day 7 after surgery onwards.
Conclusions: the maintenance of increased levels of RPC or
the appearance of new peaks after the day 2 or 3 after surgery
may be an indicator of severe complications in THA.

Palabras clave (ES):

total
PCR
Infección
Complicaciones
Cadera
Prótesis
Artroplastia

Resumen (EN)

Objectives: To determine the physiological answer
of the reactive protein C (RPC) and the speed of globular sedimentation
(SGS) after non infected total hip arthroplasty (THA).
Material and methods: a descriptive study on a total sample of
20 patients suffering primary coxarthrosis and operated with
THA was performed (18 patients with cemented Auto-Fit
Prosthesis and 2 patients with cementless Prophor
Prosthesis). The values of SGS, RPC, fibrinogen and morning
body temperature were determined before the surgical procedure
and on day 1, 2, 3, 7, 14 and 90 after it. Results: an ANOVA
test was used for repeated measurements of the obtained
results. There were statistically significant differences in the
levels of RPC obtained in the different days of the study
(p<0.001), obtaining the highest levels of it on day 2 after surgery
and highly decreasing from day 7 after surgery onwards.
Conclusions: the maintenance of increased levels of RPC or
the appearance of new peaks after the day 2 or 3 after surgery
may be an indicator of severe complications in THA.

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