Resumo

HERNAN PRADO, Miguel Á; NEVES TEIXEIRA, Ana S; MARTIN FLORES, Elena  e  LLOPIS MIRO, Rafael. Evolución de los reactantes de fase aguda tras la reconstrucción no complicada del ligamento cruzado anterior por vía artroscópica. Rev. Asoc. Argent. Ortop. Traumatol. [online]. 2015, vol.80, n.2, pp.70-75. ISSN 1852-7434.

Background: The purpose of this report was to determine the levels of inflammatory blood markers over the time after a successful arthroscopic anterior ligament reconstruction and to analyze if any variable of surgical treatment alter this blood marker. Methods: A prospective review was conducted including all anterior cruciate ligament reconstructions performed in our institution between December 2012 and December 2013. C-reactive protein, erythrocyte sedimentation rate and white blood cell count were determined before surgery and at days 1, 15 and 30 postoperatively. Different variables of surgical treatment were collected: ischemic and surgical time, type of graft, associated injuries or type of treatment (meniscal suture, microfractures, etc.). Results: C-reactive protein rose abruptly with surgery and decreased progressively over the time. This was the only marker that returned to preoperative levels by day 30 (P >0.05). Ischemic time was associated with high levels of C-reactive protein. None of the associated treatments had significant effect on C-reactive protein, erythrocyte sedimentation rate or white blood cell count. Conclusions: Blood levels of C-reactive protein can help to take a therapeutic decision when an infection is suspected. If elevated C-reactive protein levels persist after 15 days postsurgery, the presence of infection through arthrocentesis must be ruled out.

Palavras-chave : Anterior cruciate ligament; C-reactive protein; Septic arthritis.

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