Valoración de los niveles de PCR tras artroplastia total de cadera

espanolObjetivo: Determinacion de la respuesta fisiologica de la Proteina C Reactiva (PCR) y la velocidad de sedimentacion glomerular (VSG) tras la artroplastia total de cadera (ATC) no infectada. Material y Metodos: se realizo un estudio descriptivo sobre 20 pacientes afectos de coxartrosis primaria e intervenidos mediante ATC (18 pacientes tipo Auto-fit cementada y 2 pacientes tipo Prophor no cementada). Se determinaron los valores de VSG, PCR, fibrinogeno, hematocrito, hematies y temperatura corporal matinal preoperatoriamente y en los dias 1o, 2o, 3o, 7o, decimocuarto y a los 3 meses tras la intervencion. Resultados: Se realizo el test de ANOVA para medidas repetidas con los valores obtenidos. Existieron diferencias significativas entre los niveles de PCR medidos en los diferentes momentos del estudio (p Conclusiones: La permanencia de valores altos de PCR o la aparicion de nuevos picos tras el 2o -3er dia postoperatorio puede ser un indicador de complicaciones graves en la ATC. EnglishObjectives: To determine the physiological answer of the reactive protein C (RPC) and the speed of globular sedimentation (SGS) after non infected total hip arthroplasty (THA). Material and methods: a descriptive study on a total sample of 20 patients suffering primary coxarthrosis and operated with THA was performed (18 patients with cemented Auto-Fit Prosthesis and 2 patients with cementless Prophor Prosthesis). The values of SGS, RPC, fibrinogen and morning body temperature were determined before the surgical proce- dure and on day 1, 2, 3, 7, 14 and 90 after it. Results: an ANOVA test was used for repeated measurements of the obtained results. There were statistically significant differences in the levels of RPC obtained in the different days of the study (p Conclusions: the maintenance of increased levels of RPC or the appearance of new peaks after the day 2 or 3 after surgery may be an indicator of severe complications in THA.