ArticleWorld journal of orthopedics2026
Value of "true" leukocytosis formula in determining total knee arthroplasty prosthetic joint infection in the community hospital setting.
Article in World journal of orthopedics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundWith the advent of recent point of care testing to evaluate for prosthetic joint infection (PJI) such as alpha-defensin and calprotectin, the diagnosis of PJI has reached a new paramount. The most widely accepted diagnostic criteria in the literature at this time is the international consensus meeting (ICM) score by Parvizi
aimTo determine if the "true leukocytosis" formula for prosthetic joint aspirations is useful in determining PJIs.
methodsOf 158 cases with International Classification of Diseases, 10
resultsOf 81 cases met the inclusion criteria and had preoperative ICM scores calculated. Of the 81 cases that met inclusion criteria, no cases were found to have different preoperative ICM scores after applying the correction formula for "true leukocytosis" proposed by Ghanem
conclusionGiven the lack of variance in ICM score following the proposed correction formula, it appears that the proposed "true leukocytosis" formula is not a useful adjuvant in treatment decision making.
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