Evidence map›Paper›PMID 41836549›Full record

ReviewJournal of orthopaedic translation2026

Functional biomaterials for the treatment of periprosthetic joint infection: A systematic review of preclinical animal studies.

Yejin Zhang, Baoqi Li, Chaoran Liu, Tao Huang, Markus Rupp, Christoph Brochhausen, Ning Zhang, Wing Hoi Cheung, Sharon Shui Yee Leung, Ling Qin and 2 more

Abstract readReview
In one paragraph

Review in Journal of orthopaedic translation, 2026. 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. Article
  3. Review
  4. Article
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

12 authors.

Yejin ZhangDepartment of Orthopaedics & Traumatology, The Chinese University of Hong Kong, Hong Kong, China.
Baoqi LiDepartment of Orthopaedics & Traumatology, The Chinese University of Hong Kong, Hong Kong, China.
Chaoran LiuDepartment of Orthopaedics & Traumatology, The Chinese University of Hong Kong, Hong Kong, China.
Tao HuangDepartment of Orthopaedics & Traumatology, The Chinese University of Hong Kong, Hong Kong, China.
Markus RuppDepartment of Trauma, Hand and Reconstructive Surgery, University Hospital Giessen, Germany.
Christoph BrochhausenInstitute of Pathology, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
Ning ZhangDepartment of Orthopaedics & Traumatology, The Chinese University of Hong Kong, Hong Kong, China.
Wing Hoi CheungDepartment of Orthopaedics & Traumatology, The Chinese University of Hong Kong, Hong Kong, China.
Sharon Shui Yee LeungSchool of Pharmacy, The Chinese University of Hong Kong, Hong Kong, China.
Ling QinDepartment of Orthopaedics & Traumatology, The Chinese University of Hong Kong, Hong Kong, China.
Hon Fai ChanSchool of Biomedical Sciences, The Chinese University of Hong Kong, Hong Kong, China.
Ronald Man Yeung WongDepartment of Orthopaedics & Traumatology, The Chinese University of Hong Kong, Hong Kong, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Periprosthetic joint infection (PJI) is a serious complication following joint arthroplasty, often leading to implant failure, bone destruction, and high revision rates. Conventional treatments are limited by biofilm persistence and collateral tissue damage. Functional biomaterials, defined as materials with active therapeutic properties such as antimicrobial delivery, biofilm disruption, tissue regeneration, or immunomodulation, offer promising alternatives. This systematic review aims to evaluate the current landscape of functional biomaterials in preclinical PJI models and identify translational challenges. Methods: A systematic search of PubMed, Web of Science, and Embase was conducted for studies published between January 2000 and April 2025. Inclusion criteria were preclinical studies using validated animal models of PJI and investigating biomaterials with at least one active therapeutic function. Studies without prosthetic joint components or lacking in vivo data were excluded. Two reviewers independently screened and extracted data, and risk of bias was assessed using SYRCLE's tool. Results: 23 studies met the inclusion criteria, covering a range of biomaterial platforms including polymer-based systems, metal-based materials, cement and inorganic materials, nanomaterials, and hydrogels. These materials demonstrated diverse mechanisms and delivery strategies, such as localized antibiotic release and biofilm disruption. However, limitations persist in model standardization, mechanistic validation, and translational feasibility. Conclusion: Functional biomaterials show promise in enhancing PJI treatment outcomes. Future research should focus on developing multifunctional platforms with spatiotemporal control and robust evaluation in clinically relevant models. The translational potential of this article: This review provides a strategic framework for guiding the design of next-generation biomaterials with integrated therapeutic functions, supporting the development of clinically viable solutions for PJI management.

Indexed as

Antibacterial biomaterialsBiocompatible materialsDrug delivery systemsPeriprosthetic joint infectionTranslational medicine

Identifiers

PMID41836549
PMCPMC12988533

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.