ArticleArchives of orthopaedic and trauma surgery2019
A new perspective on current prosthetic joint infection classifications: introducing topography as a key factor affecting treatment strategy.
Article in Archives of orthopaedic and trauma surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Diagnostic value of magnetic resonance imaging for patients with periprosthetic joint infection: a systematic review.BMC musculoskeletal disorders · 2023Pooled it
- Management of Periprosthetic Joint Infections: A Multidisciplinary Approach.Antibiotics (Basel, Switzerland) · 2026Review
- Diagnosing orthopaedic infection by identifying neutrophils in whole histology slide images with machine learning trained on publicly available datasets.Bone & joint research · 2026Article
- Engineering multifunctional surface topography to regulate multiple biological responses.Biomaterials · 2025Review
- The PJI-TNM Classification as Predictor for Revision-Free Implant Survival Rates in Patients with Periprosthetic Joint Infection of the Hip or Knee Joint.Infectious disease reports · 2025Article
- Neutrophil-Lymphocyte Ratio as Predictor for Acute Infection After Primary Total Joint Arthroplasty in Rheumatoid Arthritis Patients.Orthopaedic surgery · 2025Article
- Periprosthetic joint infections - a scoping review.Innovative surgical sciences · 2024Article
- Application of the New Irrigation Protocol to Reduce Recurrence Rate in the Management Of Periprosthetic Joint Infection.Orthopaedic surgery · 2024Article
- C-reactive protein during the first 6 postoperative days after total hip arthroplasty cannot predict early periprosthetic infection.Archives of orthopaedic and trauma surgery · 2023Article
- The Challenge of Periprosthetic Joint Infection Diagnosis: From Current Methods to Emerging Biomarkers.International journal of molecular sciences · 2023Review
- Classification and management options for prosthetic joint infection.Annals of joint · 2022Review
- Intra-Articular Injections Prior to Total Knee Arthroplasty Do Not Increase the Risk of Periprosthetic Joint Infection: A Prospective Cohort Study.Antibiotics (Basel, Switzerland) · 2021Article
- [PJI-TNM as new classification system for periprosthetic joint infections : An evaluation of 20 cases].Der Orthopade · 2021Article
- Long-Term Patient-Related Quality of Life after Knee Periprosthetic Joint Infection.Journal of clinical medicine · 2021Article
- Changes in Invasiveness and Latent Infection Rate Associated with Switching the Approach in Total Hip Replacement.Clinical medicine insights. Arthritis and musculoskeletal disorders · 2021Article
- [Periprosthetic joint infections : Latest developments, strategies and treatment algorithms].Der Orthopade · 2020Review
- Prosthetic joint infections: diagnosis, management, and complications of the two-stage replacement arthroplasty.Skeletal radiology · 2020Review
- Debridement, Antibiotics, and Implant Retention for Acute Periprosthetic Joint Infection.Orthopaedic surgery · 2020Article
- Can the oncology classification system be used for prosthetic joint infection?: The PJI-TNM system.Bone & joint research · 2020Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Periprosthetic joint infection (PJI) is a relatively frequent and devastating complication following prosthetic joint implantation. Several classification systems have been presented by various authors and are routinely used in clinical practice to help in early diagnosis and treatment. The most widely accepted classifications of periprosthetic infections rely on the timing of clinical presentation. Unfortunately, these schemes possess important shortcomings which limit their usefulness in clinical practice, as data reported in literature are contrasting, with success rate ranging from 60 to 80%, irrespectively of prosthetic infection timing. An attempt is made by us to update the current knowledge on PJIs by looking them from a different perspective, introducing a topographic principle in their classification. Our approach is based on the theory that identifying the exact location of the bacterial colonization may allow to decide whether to conservatively treat the patient or to perform a more radical intervention. The aim is to improve the understanding of the aetiology of this serious complication, lead to the appropriate treatment strategy according to the stage of the disease thus enhancing the outcomes of surgical management. Such a strategy, if widely accepted, could guide research studies on the management of PJIs. The availability of investigations like scintigraphy could aid in identifying pathogenetic processes and their exact location, which may be missed on conventional radiographs, and could enable orthopaedic surgeons to have a better understanding of PJI patterns.
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