Evidence map›Paper›PMID 40119900›Full record

ArticleInternational orthopaedics2025

Cutibacterium infections after total hip arthroplasty: does surgical approach play a role?

Rıfat Şahin, T David Luo, Gianluca Campofreda, Mehmet Kıvrak, Thorsten Gehrke, Mustafa Citak

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Article in International orthopaedics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. 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

6 authors.

Rıfat ŞahinRecep Tayyip Erdoğan University, Rize, Turkey. rifat.sahin@erdogan.edu.tr.
T David LuoHelios Endo-Klinik Hamburg, Hamburg, Germany.
Gianluca CampofredaHelios Endo-Klinik Hamburg, Hamburg, Germany.
Mehmet KıvrakRecep Tayyip Erdoğan University, Rize, Turkey.
Thorsten GehrkeHelios Endo-Klinik Hamburg, Hamburg, Germany.
Mustafa CitakHelios Endo-Klinik Hamburg, Hamburg, Germany. mcitak@gmx.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeCutibacterium species, formerly known as Propionibacterium, are gram-positive, anaerobic bacilli increasingly recognized as a cause of periprosthetic joint infection (PJI) following total hip arthroplasty (THA). This study aimed to compare the incidence of Cutibacterium-associated PJI among different surgical approaches for THA.

methodsA retrospective review was conducted on patients treated for Cutibacterium-associated PJI following THA between 2011 and 2021. Patients were categorized based on the surgical approach: direct anterior (DAA), lateral, or posterior. A total of 211 patients met inclusion criteria, comprising 153 men (72.5%) and 58 women (27.5%).

resultsAmong the 211 cases of Cutibacterium-associated PJI, 102 (48.3%) underwent THA via DAA, 63 (29.9%) via a lateral approach, and 46 (21.8%) via a posterior approach. There were no significant differences between groups in age, sex, laterality, BMI or fistula formation. The incidence of Cutibacterium PJI was significantly higher with DAA compared to the lateral (P < 0.001) and posterior approaches (P < 0.001), while no significant difference was observed between lateral and posterior approaches (P = 0.059). The rate of Cutibacterium-associated PJI has increased since 2016.

conclusionNearly half of all Cutibacterium PJIs were associated with the DAA. Surgeons should be aware of this increased risk and implement appropriate preventive measures when performing THA via DAA.

Indexed as

Arthroplasty, Replacement, HipGram-Positive Bacterial InfectionsPropionibacteriumProsthesis-Related InfectionsAgedAged, 80 and overFemaleHip ProsthesisHumansIncidenceMaleMiddle AgedRetrospective StudiesCutibacterium acnesCutibacterium avidumDirect anterior approachHip arthroplastyPeriprosthetic joint infectionPropionibacterium acnes

Identifiers

PMID40119900

What OpenQuestion holds

Textmetadata
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.