Evidence map›Paper›PMID 40284537›Full record

ReviewMicroorganisms2025

Viscosupplementation and Synovial Fluid Rheology: A Hidden Risk for Bacterial Biofilm Formation in Joint Infections?

Fabiana Giarritiello, Luigi Regenburgh De La Motte, Lorenzo Drago

Abstract readReview
In one paragraph

Review in Microorganisms, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Observational
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

3 authors.

Fabiana GiarritielloUOC Laboratory of Clinical Medicine with Specialized Areas, IRCCS MultiMedica, 20138 Milan, Italy.ORCID 0009-0008-1574-8229
Luigi Regenburgh De La MotteUOC Laboratory of Clinical Medicine with Specialized Areas, IRCCS MultiMedica, 20138 Milan, Italy.ORCID 0000-0002-8760-1292
Lorenzo DragoUOC Laboratory of Clinical Medicine with Specialized Areas, IRCCS MultiMedica, 20138 Milan, Italy.ORCID 0000-0002-5206-540X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Synovial fluid (SF) plays a critical role in joint lubrication, load distribution, and maintaining homeostasis within the synovial cavity. Its rheological properties, primarily influenced by hyaluronic acid (HA) and other macromolecules, are essential for normal joint function. However, alterations in the physicochemical characteristics of SF can occur due to septic conditions, including septic arthritis (SA) and periprosthetic joint infections (PJIs), which significantly impact joint health. Bacterial colonization in infected joints often leads to the formation of biofilms, microbial aggregates encased in an extracellular matrix, which confer resistance to antibiotics and host immune responses. Biofilm formation in SF-altered environments is a major challenge in treating joint infections, particularly in patients with prosthetic implants.

Indexed as

bacterial biofilmhyaluronic acidperiprosthetic joint infectionrheologyseptic arthritissynovial fluidvascular impairmentviscosupplementation

Identifiers

PMID40284537
PMCPMC12029640

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.