[Revision arthroplasty : Histopathological diagnostics in periprosthetic joint infections].
Identifieur interne : 000192 ( PubMed/Checkpoint ); précédent : 000191; suivant : 000193[Revision arthroplasty : Histopathological diagnostics in periprosthetic joint infections].
Auteurs : V. Krenn [Allemagne] ; B. Kölbel ; M. Huber ; A. Tiemann ; D. Kendoff ; S. Wienert ; F. Boettner ; T. GehrkeSource :
- Der Orthopade [ 1433-0431 ] ; 2015.
English descriptors
- KwdEn :
- MESH :
- adverse effects : Joint Prosthesis.
- methods : Reoperation.
- microbiology : Bacterial Infections, Prosthesis-Related Infections.
- pathology : Bacterial Infections, Granulocytes, Prosthesis-Related Infections.
- Diagnosis, Differential, Humans.
Abstract
Histopathological differences in synovia and synovial-like interface membrane (SLIM) patterns can be used to differentiate periprosthetic particle-induced reactions, bacterial infections (bacterial synovitis and osteomyelitis), mechanical-induced tissue alterations, adverse reactions to implant material, and arthrofibrosis (SLIM consensus classification).
DOI: 10.1007/s00132-015-3083-2
PubMed: 25731144
Affiliations:
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pubmed:25731144Le document en format XML
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<author><name sortKey="Krenn, V" sort="Krenn, V" uniqKey="Krenn V" first="V" last="Krenn">V. Krenn</name>
<affiliation wicri:level="1"><nlm:affiliation>Zentrum für Histologie, Zytologie und Molekulare Diagnostik, Max-Planck-Str. 5, 54296, Trier, Deutschland, krenn@patho-trier.de.</nlm:affiliation>
<country wicri:rule="url">Allemagne</country>
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<wicri:noRegion>Deutschland</wicri:noRegion>
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<author><name sortKey="Boettner, F" sort="Boettner, F" uniqKey="Boettner F" first="F" last="Boettner">F. Boettner</name>
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<author><name sortKey="Krenn, V" sort="Krenn, V" uniqKey="Krenn V" first="V" last="Krenn">V. Krenn</name>
<affiliation wicri:level="1"><nlm:affiliation>Zentrum für Histologie, Zytologie und Molekulare Diagnostik, Max-Planck-Str. 5, 54296, Trier, Deutschland, krenn@patho-trier.de.</nlm:affiliation>
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<wicri:noRegion>Deutschland</wicri:noRegion>
<wicri:noRegion>Deutschland</wicri:noRegion>
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<author><name sortKey="Kolbel, B" sort="Kolbel, B" uniqKey="Kolbel B" first="B" last="Kölbel">B. Kölbel</name>
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<author><name sortKey="Huber, M" sort="Huber, M" uniqKey="Huber M" first="M" last="Huber">M. Huber</name>
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<author><name sortKey="Tiemann, A" sort="Tiemann, A" uniqKey="Tiemann A" first="A" last="Tiemann">A. Tiemann</name>
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<author><name sortKey="Kendoff, D" sort="Kendoff, D" uniqKey="Kendoff D" first="D" last="Kendoff">D. Kendoff</name>
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<author><name sortKey="Wienert, S" sort="Wienert, S" uniqKey="Wienert S" first="S" last="Wienert">S. Wienert</name>
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<author><name sortKey="Boettner, F" sort="Boettner, F" uniqKey="Boettner F" first="F" last="Boettner">F. Boettner</name>
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<author><name sortKey="Gehrke, T" sort="Gehrke, T" uniqKey="Gehrke T" first="T" last="Gehrke">T. Gehrke</name>
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<series><title level="j">Der Orthopade</title>
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<term>Bacterial Infections (pathology)</term>
<term>Diagnosis, Differential</term>
<term>Granulocytes (pathology)</term>
<term>Humans</term>
<term>Joint Prosthesis (adverse effects)</term>
<term>Prosthesis-Related Infections (microbiology)</term>
<term>Prosthesis-Related Infections (pathology)</term>
<term>Reoperation (methods)</term>
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<term>Prosthesis-Related Infections</term>
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<term>Granulocytes</term>
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<front><div type="abstract" xml:lang="en">Histopathological differences in synovia and synovial-like interface membrane (SLIM) patterns can be used to differentiate periprosthetic particle-induced reactions, bacterial infections (bacterial synovitis and osteomyelitis), mechanical-induced tissue alterations, adverse reactions to implant material, and arthrofibrosis (SLIM consensus classification).</div>
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<DateCreated><Year>2015</Year>
<Month>05</Month>
<Day>11</Day>
</DateCreated>
<DateCompleted><Year>2016</Year>
<Month>02</Month>
<Day>04</Day>
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<DateRevised><Year>2015</Year>
<Month>05</Month>
<Day>11</Day>
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<Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1433-0431</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>44</Volume>
<Issue>5</Issue>
<PubDate><Year>2015</Year>
<Month>May</Month>
</PubDate>
</JournalIssue>
<Title>Der Orthopade</Title>
<ISOAbbreviation>Orthopade</ISOAbbreviation>
</Journal>
<ArticleTitle>[Revision arthroplasty : Histopathological diagnostics in periprosthetic joint infections].</ArticleTitle>
<Pagination><MedlinePgn>349-56</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1007/s00132-015-3083-2</ELocationID>
<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Histopathological differences in synovia and synovial-like interface membrane (SLIM) patterns can be used to differentiate periprosthetic particle-induced reactions, bacterial infections (bacterial synovitis and osteomyelitis), mechanical-induced tissue alterations, adverse reactions to implant material, and arthrofibrosis (SLIM consensus classification).</AbstractText>
<AbstractText Label="AIM" NlmCategory="OBJECTIVE">Because of differences in treatment the diagnosis of a bacterial implant infection is very important. Histopathological tests and scoring systems are important diagnostic tools in identifying deep implant infections in patients with unclear clinical history as well as radiographic and laboratory studies.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Modern enzyme PCR-based methods, histochemical- and immune-histopathological techniques (CD3,CD15, CD68) are useful in identifying specific and nonspecific infections, as well as differentiating postsurgical changes from recurrent infections in patients with a spacer. In all histopathological scoring systems for bacterial infection, quantifying the number of neutrophil granulocytes in a defined number of high power fields is crucial.</AbstractText>
<AbstractText Label="DISCUSSION" NlmCategory="CONCLUSIONS">Neutrophil granulocytes can be detected through histochemical methods and more specifically by immune-histopathological techniques and by various quantification systems (histopathological scores) leading to the diagnosis of bacterial peri-implant infection. One important function of histopathology, apart from diagnosing infection, is to rule out other mechanisms of implant failure, such as tumor infiltrations, particle-induced reactions, and adverse reactions to implant materials.</AbstractText>
</Abstract>
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<MeshHeadingList><MeshHeading><DescriptorName UI="D001424" MajorTopicYN="N">Bacterial Infections</DescriptorName>
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