Article

Evaluation of fever in the immediate postoperative period in patients who underwent total joint arthroplasty.

Department of Orthopaedic Surgery, Monmouth Medical Center, Long Branch, New Jersey 07740, USA.
The Journal of arthroplasty (impact factor: 1.79). 04/2011; 26(8):1404-8. DOI:10.1016/j.arth.2011.02.019 pp.1404-8
Source: PubMed

ABSTRACT Forty percent to 50% of patients may experience an immediate postoperative fever. Research suggests that these are of aseptic cause due to inflammatory mediators. This is a retrospective analysis of fevers in total hip arthroplasty (THA) and total knee arthroplasty (TKA) patients from 2006 to 2008. Thirty-six percent of THA and 31% of TKA patients developed a fever, with most developing a maximum temperature on postoperative day (POD) 2. The maximum mean temperature between the THA and TKA group was not significantly different. Fevers in the immediate postoperative period are a normal variant in patients undergoing THA or TKA. Urinalysis, urine culture and sensitivity, and chest x-ray are not required during this period because most of these fevers stem from aseptic causes.

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Keywords

aseptic cause
 
aseptic causes
 
chest x-ray
 
Fevers
 
immediate postoperative fever
 
immediate postoperative period
 
inflammatory mediators
 
maximum temperature
 
normal variant
 
patients
 
patients undergoing THA
 
retrospective analysis
 
THA
 
TKA group
 
TKA patients
 
total hip arthroplasty
 
total knee arthroplasty
 
urine culture
 

Christian Athanassious