Evidence map›Paper›PMID 38095273›Full record

ArticleMacromolecular bioscience2024

Antibiotic-Loaded Ultrahigh Molecular Weight Polyethylenes.

Sashank Lekkala, Nicoletta Inverardi, Jean Yuh, Keith K Wannomae, Peyton Tierney, Amita Sekar, Orhun K Muratoglu, Ebru Oral

Abstract read
In one paragraph

Article in Macromolecular bioscience, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
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

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Toughness measures in solid-state composites of ultra-high molecular weight polyethylene.Journal of the mechanical behavior of biomedical materials · 2025
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
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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

8 authors.

Sashank LekkalaHarris Orthopaedic Laboratory, Massachusetts General Hospital, Boston, MA, 02114, USA.ORCID 0000-0001-6638-9029
Nicoletta InverardiHarris Orthopaedic Laboratory, Massachusetts General Hospital, Boston, MA, 02114, USA.ORCID 0000-0003-3550-9299
Jean YuhHarris Orthopaedic Laboratory, Massachusetts General Hospital, Boston, MA, 02114, USA.
Keith K WannomaeHarris Orthopaedic Laboratory, Massachusetts General Hospital, Boston, MA, 02114, USA.
Peyton TierneyHarris Orthopaedic Laboratory, Massachusetts General Hospital, Boston, MA, 02114, USA.
Amita SekarHarris Orthopaedic Laboratory, Massachusetts General Hospital, Boston, MA, 02114, USA.ORCID 0000-0002-2057-1332
Orhun K MuratogluHarris Orthopaedic Laboratory, Massachusetts General Hospital, Boston, MA, 02114, USA.
Ebru OralHarris Orthopaedic Laboratory, Massachusetts General Hospital, Boston, MA, 02114, USA.ORCID 0000-0001-5761-719X

Funding

Drug-eluting joint implants with synergistic antimicrobial release and risk stratified models of preclinical efficacy testingR01AR077023 · NIAMS · MASSACHUSETTS GENERAL HOSPITAL · PI ORAL, EBRU · 2020 to 2024
$1.8M
NIAMS NIH HHS R01 AR077023NIH HHS R01AR077023
6 · The paper itself

Abstract

The occurrence of periprosthetic joint infections (PJI) after total joint replacement constitutes a great burden for the patients and the healthcare system. Antibiotic-loaded polymethylmethacrylate (PMMA) bone cement is often used in temporary spacers during antibiotic treatment. PMMA is not a load-bearing solution and needs to be replaced by a functional implant. Elution from the ultrahigh molecular weight polyethylene (UHMWPE) bearing surface for drug delivery can combine functionality with the release of clinically relevant doses of antibiotics. In this study, the feasibility of incorporating a range of antibiotics into UHMWPE is investigated. Drug stability is assessed by thermo-gravimetric analysis and nuclear magnetic resonance spectroscopy. Drug-loaded UHMWPEs are prepared by compression molding, using eight antibiotics at different loading. The predicted intra-articular concentrations of drugs eluted from UHMWPE are above minimum inhibitory concentration for at least 3 weeks against Staphylococci, which are the major causative bacteria for PJI. The antibacterial efficacy is confirmed for samples covering 2% of a representative knee implant in vitro over 72 h, showing that a small fraction of the implant surface loaded with antibiotics may be sufficient against Staphylococci.

Indexed as

Anti-Bacterial AgentsProsthesis-Related InfectionsBone CementsHumansMolecular WeightPolyethylenesPolymethyl MethacrylateAnti-Bacterial AgentsBone CementsPolyethylenesPolymethyl Methacrylateultra-high molecular weight polyethylenedrug deliveryperiprosthetic joint infectionspharmacokinetic modeling of antibioticspolymeric delivery devices

Identifiers

PMID38095273
PMCPMC11018474

What OpenQuestion holds

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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.