Evidence map›Paper›PMID 41013706›Full record

ReviewJournal of orthopaedic surgery and research2025

Periprosthetic joint infection after arthroplasty: advances and future prospects.

Xianghua Xiong, Jiongnan Xu, Bin Zhou, Mingyan Luo, Junjie Gao, Qing Bi, Qifeng Ying, Jun Zhang

Abstract readReview
In one paragraph

Review in Journal of orthopaedic surgery and research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Review
  3. Bone and Infections: An Osteoimmunological Interplay.International journal of molecular sciences · 2026
    Review
  4. 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

8 authors.

Xianghua XiongZunyi Medical University, Zunyi, 563000, Guizhou, China.
Jiongnan XuZhejiang Chinese Medical University, Hangzhou, 310000, Zhejiang, China.
Bin ZhouZunyi Medical University, Zunyi, 563000, Guizhou, China.
Mingyan LuoZunyi Medical University, Zunyi, 563000, Guizhou, China.
Junjie GaoDepartment of Orthopedics, Shanghai Sixth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200233, China.
Qing BiCenter for Rehabilitation Medicine, Department of Orthopedics, Zhejiang Provincial People's Hospital, Hangzhou Medical College, Hangzhou, 310000, Zhejiang, China. Biqing@hmc.edu.cn.
Qifeng YingCenter of Osteoporosis, Zhejiang Provincial People's Hospital, Hangzhou, 310000, Zhejiang, China. yqf2013@aliyun.com.
Jun ZhangZhejiang Provincial People's Hospital Bijie Hospital, Bijie, 551700, Guizhou, China. spinezhangjun@aliyun.com.

Funding

Bijie Science and Technology Bureau (BKH [2023] No. 55 to Dr. Jun Zhang)Guizhou Provincial Administration of Traditional Chinese Medicine (QZYY-2024-109 to Dr. Jun Zhang)Guizhou Provincial Office of Science and Technology (Qiankehe Major [2025] 010 to Dr. Jun Zhang)Hangzhou Medical College (KYYB2023008 to Dr. Jun Zhang)Health Commission of Guizhou Province (gzwkj2024-159 to Dr. Jun Zhang)National Natural Science Foundation of China (No. 82460423 to Dr. Jun Zhang)Zhejiang Administration of Traditional Chinese Medicine (GZY-ZJ-KJ-23057 to Dr. Jun Zhang)
6 · The paper itself

Abstract

objectiveTo comprehensively analyze the prevention, diagnosis and management strategies of periprosthetic joint infections(PJIs), provide new ideas for overcoming PJI, and provide references for clinicians.

methodsBy synthesizing the latest research results at home and abroad, this study deeply analyzed the multidimensional prevention strategies, diagnostic criteria and technological advances, and treatment management strategies for PJI.

resultsThe management of PJI remains a significant challenge in orthopedic surgery, which warrants focused attention. The prevention of PJI holds paramount priority and should be integrated throughout the perioperative period. Although diagnostic criteria for PJI have undergone multiple updates, the 2011 MSIS criteria remain the most widely adopted, requiring comprehensive evaluation of laboratory, pathological, and imaging examinations for diagnosis. PJI treatment necessitates combined antibiotic and surgical interventions. Antibiotic therapy includes empirical treatment after diagnosis, targeted therapy following pathogen identification, and suppressive antibiotic therapy(SAT) for non-surgical candidates. Surgical options comprise debridement, antibiotics, and implant retention(DAIR), one-stage/two-stage revision, and salvage procedures.

conclusionImplementation of standardized infection prevention protocols, rational antibiotic use, surgical technical innovations, and advancements in biomaterials have contributed to a reduction in PJI incidence. However, the spread of bacterial resistance and multidrug-resistant organisms in healthcare settings pose new challenges for PJI prevention and treatment. In the future, the research and development of new antimicrobial materials, the innovation of biofilm control technology and the application of precision medicine are expected to further reduce the incidence of PJI, improve the quality of life of patients, and promote a breakthrough in the field of arthroplasty regarding this issue.

Indexed as

Arthroplasty, ReplacementProsthesis-Related InfectionsAnti-Bacterial AgentsDebridementForecastingHumansReoperationAnti-Bacterial AgentsPeriprosthetic joint infectionPreventive strategiesRevision surgeryTherapeutic advancesTotal joint arthroplasty

Identifiers

PMID41013706
PMCPMC12465212

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.