Evaluation of Fever in the Immediate Postoperative Period in Patients Who Underwent Total Joint Arthroplasty

Christian Athanassious, Adil Samad, Anthony Avery, Jason Cohen, David Chalnick

Research output: Contribution to journalArticlepeer-review

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.

Original languageEnglish (US)
Pages (from-to)1404-1408
Number of pages5
JournalJournal of Arthroplasty
Volume26
Issue number8
DOIs
StatePublished - Dec 2011

Keywords

  • Postoperative fever
  • Total hip arthroplasty
  • Total knee arthroplasty

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

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