Study Of ESR, CRP And WBC Levels As A Marker In Immediate Post-Operative Orthopaedic Infection
Journal Title: International Journal of Orthopaedics Traumatology & Surgical Sciences - Year 2017, Vol 3, Issue 1
Abstract
Aim - Our study is to evaluate the levels of Erythrocyte sedimentation rate, C – reactive protein and WBC as a marker of immediate post-operative orthopaedic infections. Basis of the study is to evaluate the value of Erythrocyte sedimentation rate, C – reactive protein and Whole blood cell on day 0, day 3 and day 7 of surgery as markers of infection. The physiological response in infected cases was measured by mean values of Erythrocyte sedimentation rate, C – reactive protein and Whole blood cell plotted on a bar chart and compared with that of the non-infected cases. Methods and material - We studied the kinetics of Erythrocyte sedimentation rate, C – reactive protein and Whole blood cell levels in 200 post-operative orthopedic cases. Out of 200 cases operated, 193 were found uneventful and remaining 7 presented with signs of infection in form as fever, local rise of temperature and serous discharge at the end of day 7. Result - There was no significant difference in the Erythrocyte sedimentation rate, C – reactive protein and Whole blood cell level between the infected and non-infected cases on DAY 0. On DAY 3 there was significant difference in the levels of C – reactive protein in infected[0.015(S)] and non-infected cases. Also, significant difference in ESR[0.001 (S)] amongst non-infected cases was noted. On DAY 7 there was significant difference in the levels of C – reactive protein in infected and non-infected cases. Conclusion - Our study does not show Erythrocyte sedimentation rate, C – reactive protein and Whole blood cell as a definitive marker of infection in immediate post-operative cases. However, a rising trend must be observed to suspect infection.
Authors and Affiliations
Sunil H Shetty, Amit B Dhond, Piyush M Jadho, Manit Arora
Keywords
Related Articles
- EP ID EP394857
- DOI -
- Views 136
- Downloads 0
Early Osteoarthritis Of Knee: A Clinical Study
Objective: To identify the risk factors for primary early knee osteoarthritis (EOA) in a young to middle-aged population (age<50years) with sub-acute knee complaints. Design: A hospital based cross sectional study was ca...
Management of diaphyseal fracture of femur with antegrade and retrograde nailing (comparative study)
Diaphyseal femoral fractures are commonly encountered in routineorthopaedicsemergency.They occur commonly due to high velocity trauma and therefore are mostly associated with injuries such as head injury,chest injury as...
Functional And Radiological Outcome Of Midclavicular Fractures Treated With Titanium Elastic Nailing
BACKGROUND AND OBJECTIVE Our objective was to evaluate clinical and radiological outcomes ofMidclavicular fractures treated with Titanium elastic nailing. MATERIALS AND METHODS The clinical study was a prospective s...
Traumatic paraplegia: evaluation of fuctional recovery of thoracolumbar fracture fixation in relation to preoperative neurological deficit
Fractures of thoracolumbar spine are common injury with variety of operative and non-operative management options. There remains debate as to the optimal treatment for a given patient & fracture.Our aim was to assess the...
Assessment And Evaluation Of Patellofemoral Instability On Magnetic Resonance Imaging
Background: Patellofemoral instability is a common clinical problem. Risk factors predisposing to patellar dislocation include ligamentous laxity, femoral or tibialmalrotation, patella alta or femoral trochlear dysplasia...