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Investigation of a novel new test to aid revision surgery following hip or knee replacement infectio

Not Applicable
Completed
Conditions
Patients undergoing second stage revision surgery for previous periprosthetic joint infection (either hip or knee) previously proven with microbiology results
Surgery
Periprosthetic joint infection (either hip or knee)
Registration Number
ISRCTN94873042
Lead Sponsor
ewcastle-upon-Tyne Hospitals Foundation Trust
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
50
Inclusion Criteria

1. Undergoing second stage revision surgery following periprosthetic joint infection of either hip or knee
2. Previous periprosthetic joint infection proven with culture results
3. Aged over 18 years

Exclusion Criteria

1. Patient unwilling to consent
2. Patient lacks capacity to consent
3. Patient unable to consent due to communication or language barrier
4. Surgeon unwilling to take intra-operative aspirate sample

Study & Design

Study Type
Observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Alpha defensin is measured using the Synovasure lateral flow assays at the time of the second stage revision surgery.
Secondary Outcome Measures
NameTimeMethod
<br> 1. The correlation between alpha defensin results and the microbiology culture results is measured using the intra-operative Synovasure result and the final culture result from the intra-operative samples at approximately 5 days post-operatively (once enhanced culture results are available)<br> 2. Variance in the accuracy of alpha defensin in showing effective clearance of a previously infected joint prosthesis according to different patient groups is measured using patient demographics collated from review of medical notes, results and xrays retrospectively from the time that the patient first presented with symptoms leading to the diagnosis of PJI up until their second stage revision surgery<br>
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