ArticleLa Radiologia medica2018
Fluoroscopy- vs ultrasound-guided aspiration techniques in the management of periprosthetic joint infection: which is the best?
Article in La Radiologia medica, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.
- Optimized use and performance of culture for periprosthetic joint infection diagnosis: a comprehensive literature review.Clinical microbiology reviews · 2025Pooled it
- Ultrasound- and fluoroscopy-guided hip aspiration before revision total hip arthroplasty: procedural outcomes and diagnostic accuracy in sequential cohorts.Acta orthopaedica · 2026Article
- Is there a role for lavage aspiration after a dry tap in the work-up for potential periprosthetic joint infection? A systematic review.Journal of bone and joint infection · 2026Review
- Evaluating key ultrasound findings and their correlations with hip joint aspiration and prosthetic joint infection diagnosis following total hip arthroplasty.Skeletal radiology · 2025Article
- Fluoroscopy-guided aspiration of the acutely dislocated total hip arthroplasty: a feasible, high-yield, and safe procedure.Insights into imaging · 2025Article
- Pre-aspiration outpatient ultrasound can accurately predict dry taps in prosthetic hips suspected of infection; a prospective study.Frontiers in surgery · 2024Article
- HGT: A Hierarchical GCN-Based Transformer for Multimodal Periprosthetic Joint Infection Diagnosis Using Computed Tomography Images and Text.Sensors (Basel, Switzerland) · 2023Article
- Is ultrasound-guided hip aspiration more successful than fluoroscopic-guided aspiration in diagnosing prosthetic joint infection?Journal of bone and joint infection · 2023Article
- Factors predicting hip joint aspiration yield or "dry taps" in patients with total hip arthroplasty.Journal of orthopaedic surgery and research · 2022Article
- Evaluation and interpretation of prosthetic joint infection diagnostic investigations.International orthopaedics · 2021Review
- Value of ultrasound-guided aspiration of hip arthroplasties performed in an orthopedic clinic by orthopedic surgeons.Journal of bone and joint infection · 2021Article
- Interventional therapeutic procedures in the musculoskeletal system: an Italian Survey by the Italian College of Musculoskeletal Radiology.La Radiologia medica · 2018Article
- Insufficient sensitivity of joint aspiration during the two-stage exchange of the hip with spacers.Journal of orthopaedic surgery and research · 2018Article
- Hip aspiration: A comparison of ultrasound and fluoroscopic guidance.Journal of orthopaedicsArticle
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFluid samples obtained from an affected joint still play a central role in the diagnosis of periprosthetic joint infection (PJI). It is the only preoperative test able to discover the causative microbiological agent. In the hip, fluid aspiration can be performed through fluoroscopy, ultrasound, or, less commonly, computed tomography. However, there is still a lack of consensus on which method is preferable in terms of efficacy and costbenefit. PURPOSES: We, therefore, asked whether (1) the benefits in terms of sensitivity and specificity and (2) the costs were comparable between fluoroscopy- and ultrasound-guided joint aspirations in a suspicious of hip PJI.
methodsBetween 2013 and 2016, 52 hip aspirations were performed on 49 patients with clinical, radiological, or serological suspicion of PJI, waiting for a revision surgery. The patients were divided in two groups: fluoroscopy- (n = 26) vs ultrasound-guided hip aspiration group (n = 26). These groups were also divided in control and infected patients. The criteria of MusculoSkeletal Infection Society (MSIS) were used, as gold standard, to define PJI.
results(1) Ultrasound-guided aspiration revealed valid sensitivity (89% vs 60%) and specificity (94% vs 81%) in comparison with fluoroscopic-guided aspiration. (2) The cost analysis was also in favor of ultrasound-guided aspiration (125.30€) than fluoroscopic-guided aspiration (343.58€).
conclusionsWe concluded that ultrasound-guided hip aspiration could represent a valid, safe, and less expensive diagnostic alternative to fluoroscopic-guided aspiration in hip PJI.
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