Evidence map›Paper›PMID 26449208›Full record

ReviewJournal of orthopaedic research : official publication of the Orthopaedic Research Society2016

Multi-disciplinary antimicrobial strategies for improving orthopaedic implants to prevent prosthetic joint infections in hip and knee.

Matthew A Getzlaf, Eric A Lewallen, Hilal M Kremers, Dakota L Jones, Carolina A Bonin, Amel Dudakovic, Roman Thaler, Robert C Cohen, David G Lewallen, Andre J van Wijnen

Open access · bronzeAbstract readReview
In one paragraph

Review in Journal of orthopaedic research : official publication of the Orthopaedic Research Society, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
6.5field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 66 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Optimizing vancomycin release from novel carbon fiber-reinforced polymer implants with small holes: periprosthetic joint infection treatment.Journal of artificial organs : the official journal of the Japanese Society for Artificial Organs · 2024
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  4. Biofilm Producing Methicillin-ResistantPathogens (Basel, Switzerland) · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Matthew A GetzlafDepartment of Orthopedic Surgery, Mayo Clinic, 200 1st St SW, Rochester, Minnesota 55905.
Eric A LewallenDepartment of Orthopedic Surgery, Mayo Clinic, 200 1st St SW, Rochester, Minnesota 55905.
Hilal M KremersDepartment of Health Sciences Research, College of Medicine, Mayo Clinic, 200 1st St SW, Rochester, Minnesota 55905.
Dakota L JonesDepartment of Orthopedic Surgery, Mayo Clinic, 200 1st St SW, Rochester, Minnesota 55905.
Carolina A BoninDepartment of Orthopedic Surgery, Mayo Clinic, 200 1st St SW, Rochester, Minnesota 55905.
Amel DudakovicDepartment of Orthopedic Surgery, Mayo Clinic, 200 1st St SW, Rochester, Minnesota 55905.
Roman ThalerDepartment of Orthopedic Surgery, Mayo Clinic, 200 1st St SW, Rochester, Minnesota 55905.
Robert C CohenReconstructive Research and Development, Stryker Orthopedics, 325 Corporate Drive, Mahwah, New Jersey 07430.
David G LewallenDepartment of Orthopedic Surgery, Mayo Clinic, 200 1st St SW, Rochester, Minnesota 55905.
Andre J van WijnenDepartment of Orthopedic Surgery, Mayo Clinic, 200 1st St SW, Rochester, Minnesota 55905.
Mayo Clinic · USStryker (United States) · US

Funding

Musculoskeletal Research Training ProgramT32AR056950 · NIAMS · MAYO CLINIC ROCHESTER · PI Jennifer J Westendorf · 2009 to 2026
$7.0M
Molecular Control of Bone FormationR01AR049069 · NIAMS · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI WESTENDORF, JENNIFER J · 2003 to 2021
$5.8M
Interdisciplinary Training in Lung Physiology and Biomedical EngineeringT32HL105355 · NHLBI · MAYO CLINIC ROCHESTER · PI PRAKASH, Y. S., SIECK, GARY C. · 2012 to 2021
$3.9M
Epigenetic control of osteoblast differentiationF32AR066508 · NIAMS · MAYO CLINIC ROCHESTER · PI DUDAKOVIC, AMEL · 2015 to 2017
$185k
NHLBI NIH HHS T32 HL105355NIAMS NIH HHS F32 AR066508NIAMS NIH HHS R01 AR049069NIAMS NIH HHS T32 AR056950NIAMS NIH HHS T32 AR56950
6 · The paper itself

Abstract

Like any foreign object, orthopaedic implants are susceptible to infection when introduced into the human body. Without additional preventative measures, the absolute number of annual prosthetic joint infections will continue to rise, and may exceed the capacity of health care systems in the near future. Bacteria are difficult to eradicate from synovial joints due to their exceptionally diverse taxonomy, complex mechanistic attachment capabilities, and tendency to evolve antibiotic resistance. When a primary orthopaedic implant fails from prosthetic joint infection, surgeons are generally challenged by limited options for intervention. In this review, we highlight the etiology and taxonomic groupings of bacteria known to cause prosthetic joint infections, and examine their key mechanisms of attachment. We propose that antimicrobial strategies should focus on the most harmful bacteria taxa within the context of occurrence, taxonomic diversity, adhesion mechanisms, and implant design. Patient-specific identification of organisms that cause prosthetic joint infections will permit assessment of their biological vulnerabilities. The latter can be targeted using a range of antimicrobial techniques that exploit different colonization mechanisms including implant surface attachment, biofilm formation, and/or hematogenous recruitment. We anticipate that customized strategies for each patient, joint, and prosthetic component will be most effective at reducing prosthetic joint infections, including those caused by antibiotic-resistant and polymicrobial bacteria.

Indexed as

Antibiotic ProphylaxisArthroplasty, Replacement, HipArthroplasty, Replacement, KneeHumansJoint ProsthesisProsthesis-Related Infectionsarthroplastyimplantindividualized medicineinfectionjoint

Identifiers

PMID26449208
PMCPMC4824296
OpenAlexW1929019517

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.