Evidence map›Paper›PMID 40224152›Full record

ReviewStrategies in trauma and limb reconstruction

Current Use of Infrared Thermography in Orthopaedic and Bone or Joint Trauma Patients-Can We Identify Postoperative Infection? A Narrative Systematic Review.

Arun T Watts, Anne Mp Boyle, Vladislav Kutuzov, Christian Warner, Tim Staniland, Gavin Barlow, Hemant Sharma

Abstract readReview
In one paragraph

Review in Strategies in trauma and limb reconstruction. 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
  2. Review
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

7 authors.

Arun T WattsDepartment of Trauma and Orthopaedics, Hull Royal Infirmary, Hull, England, United Kingdom.ORCID https://orcid.org/0000-0003-0439-7546
Anne Mp BoyleDepartment of Trauma and Orthopaedics, Hull University Teaching Hospitals NHS Trust, Hull, United Kingdom.
Vladislav KutuzovDepartment of Trauma and Orthopaedics, Blackpool Teaching Hospitals NHS Foundation Trust, Blackpool, United Kingdom.
Christian WarnerDepartment of Trauma and Orthopaedics, Royal Blackburn Teaching Hospital, Blackburn, United Kingdom.
Tim StanilandDepartment of Trauma and Orthopaedics, Hull University Teaching Hospitals NHS Trust, Hull, United Kingdom.
Gavin BarlowDepartment of Infection, Hull University Teaching Hospitals NHS Trust, Hull, United Kingdom.
Hemant SharmaDepartment of Trauma and Orthopaedics, Hull Royal Infirmary, Hull, England, United Kingdom.ORCID https://orcid.org/0000-0003-3781-1651

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim and background: Technological advances have made infrared thermography (IRT) sensitive, noncontact, and low cost for medical applications and it is used in a range of fields. A widening body of research has investigated IRT in the orthopaedic setting, including the investigation of orthopaedic infection. Infrared thermography could provide a rapid, low-cost, objective, noncontact technique to aid in the diagnosis of orthopaedic infections. Methods: Electronic searches of MEDLINE, CINAHL, and EMBASE from 2000 to 2024 were made. The search strategy aimed to include all studies in adults investigating the use of IRT in orthopaedic and bone or joint trauma patients and those studies which provide baseline values, including in patients with infection. Articles were screened by title and abstract by two authors. Bias was assessed using the Newcastle-Ottawa Scale tool. Studies were heterogeneous; therefore, results were summarised in tables and presented as a narrative synthesis. Results: The search identified 36 studies. Studies have shown that IRT is useful in fracture or soft tissue diagnosis, detecting periprosthetic infection, and it may have a role in screening healthy subjects. There is still considerable variance in the application of IRT in the trauma and orthopaedic setting. Conclusion: Infrared thermography is sensitive to skin temperature changes in infected limbs following orthopaedic surgery and may be used as a low-cost, noncontact, irradiation-free screening tool to identify orthopaedic infection in the future. Future studies should identify the cost effectiveness of IRT in clinical practice. Barriers include the low incidence of orthopaedic infection and large number of confounders that can affect IRT readings. Clinical significance: Infrared thermography can provide rapid information that may be a useful adjunct in the emergency department or outpatient clinics to diagnose a range of orthopaedic conditions, including infection. Current research has yet to demonstrate clinical significance. How to cite this article: Watts AT, Boyle AMP, Kutuzov V,

Indexed as

InfectionNarrative reviewOrthopaedicSystematic reviewThermography

Identifiers

PMID40224152
PMCPMC11982907

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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.