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Department of Orthopaedic Surgery, Amphia Hospital Breda, The Netherlands
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drainage by aspiration (arthrocentesis), arthroscopy or arthrotomy followed by intravenous antibiotics, according to the guideline of the European Society for Paediatric Infectious Diseases (ESPID). 1 However, the literature is scarce with respect to
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) system was designed to provide irrigation and aspiration during a single-stage reaming procedure in which the device can be used to clear the medullary canal of BM and reaming debris, specially at the femur, but has gained popularity when harvesting this
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to antibiotics. 2 In septic arthritis, prompt clearance of the inflammatory products from the joint space is required. The exact mode (arthrotomy vs arthroscopy vs aspiration) has been the topic of controversy. Septic arthritis of the hip in
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identify the optimal time for re-implantation. 56 Synovial fluid aspiration and analyses for cell count, culture and biomarkers before re-implantation are widely used to determine the optimal time for re-implantation and to detect persistent infection
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aggressively treated to prevent chondrocyte apoptosis and progression to synovitis, recurrent joint bleeds and ultimately end-stage osteoarthritis. These joint bleeds need the following: deficient factor intravenous replacement to 50%; joint aspiration to
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-operative tactical discussion in a MDT setting. Acquisition of tissue can be via open biopsy or needle biopsy. The latter includes both fine needle aspiration (FNA) and core needle biopsy. At present the most popular method is core needle biopsy. It can be assumed
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laboratory abnormalities or in suspected cases with an unclear cause of failure, joint aspiration is highly recommended. 5 Synovial fluid analysis permits, with a single procedure, assessment of leucocyte count, polymorphonuclear cells percentage and to
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antibiotic intake may alter their diagnostic utility. 5 , 18 , 28 – 36 Nonetheless, a recent study suggested that synovial fluid cell count of polymorphonuclear leukocyte is not influenced by intake of antibiotics prior to aspiration of various joints
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. CT and MRI are more sensitive as well as specific in detecting certain pathologies. 69 , 70 , 71 Aspiration of the joint under ultrasonography (USG) or CT guidance can help in isolating organisms and demonstrating crystals. 72 – 74 We
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wound discharge or dehiscence. 71 If antibiotic therapy is chosen there should be a strong indication and prior to administration of any antibiotics, aspiration of the wound is suggested to confirm established infection and direct the therapy. 23
