Evaluation of fever in the immediate postoperative period in patients who underwent total joint arthroplasty |
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Authors: | Athanassious Christian Samad Adil Avery Anthony Cohen Jason Chalnick David |
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Affiliation: | Monmouth Medical Center, Department of Orthopaedic Surgery, Long Branch, New Jersey |
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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. |
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Keywords: | postoperative fever total knee arthroplasty total hip arthroplasty |
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