Evaluation of fever in the immediate postoperative period in patients who underwent total joint arthroplasty.
retrospective_cohort · Level III
Where this comes from
- Record sourced from PubMed, PMID 21477972.
- Also identified by DOI 10.1016/j.arth.2011.02.019.
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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.
Medical subject headings
- Arthroplasty, Replacement, Hip
- Arthroplasty, Replacement, Knee
- Fever
- Postoperative Complications
Anatomy
- hip
- knee