How accurate are orthopedic surgeons in diagnosing periprosthetic joint infection after total knee arthroplasty?: A multicenter study

The Knee
In Jun KohKorea Knee Research Group

Abstract

The lack of standardized diagnostic criteria for periprosthetic joint infection (PJI) poses a challenge to accurate diagnosis of PJI. Recently, the Musculoskeletal Infection Society (MSIS) proposed diagnostic criteria for PJI. However, it is not known how well these proposed criteria accommodate real clinical scenarios. We determined what proportion of patients satisfied the MSIS criteria, and if MSIS criteria were not met, what other rationales were used to diagnose PJI. We retrospectively reviewed the records of 303 patients who underwent two-stage exchange arthroplasty for treatment of PJI of the knee at 17 institutions. The rationale for making the diagnosis of PJI was also recorded, if the case did not meet the MSIS criteria. In addition, detailed information about isolated microorganisms were gathered. Among the 303 patients, 198 met the diagnostic criteria proposed by MSIS. Among the 105 patients who did not meet the MSIS criteria, 88% met two or three minor criteria; however joint fluid analysis or histologic analysis was not performed in 85% of these 105 patients. The most common rationale for the diagnosis of PJI was the presence of abnormal physical findings. Microorganisms were identified in only 52% of all patients...Continue Reading

References

Oct 7, 2004·The American Journal of Medicine·Andrej TrampuzRobin Patel
Jul 5, 2005·The Journal of Bone and Joint Surgery. American Volume·Steven KurtzMichael Halpern
Sep 6, 2005·The Journal of Bone and Joint Surgery. American Volume·Paul E Di CesareChuan-ju Liu
Dec 2, 2005·Arthritis and Rheumatism·Nitin B JainJeffrey N Katz
Jun 8, 2006·The Journal of Bone and Joint Surgery. American Volume·Eric FulkersonPaul E Di Cesare
Jun 27, 2006·The Journal of Bone and Joint Surgery. British Volume·J E PhillipsR J Grimer
Dec 5, 2006·The Journal of Bone and Joint Surgery. American Volume·Javad ParviziThomas W Bauer
Apr 4, 2007·The Journal of Bone and Joint Surgery. American Volume·Steven KurtzMichael Halpern
Aug 19, 2007·The New England Journal of Medicine·Andrej TrampuzRobin Patel
Oct 31, 2007·The Journal of Bone and Joint Surgery. American Volume·Steven M KurtzEdmund Lau
Oct 6, 2007·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Elie F BerbariDouglas R Osmon
Jun 7, 2008·The Journal of Arthroplasty·Steven M KurtzJavad Parvizi
Sep 3, 2008·The Journal of Bone and Joint Surgery. American Volume·Mark F SchinskyWayne G Paprosky
Oct 22, 2008·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Peter SchäferLars Frommelt
Feb 19, 2010·Journal of Clinical Microbiology·Yvonne AchermannAndrej Trampuz
Mar 3, 2010·The Journal of Bone and Joint Surgery. American Volume·Patrick F BerginRocky S Tuan
Oct 21, 2010·International Orthopaedics·S M Javad MortazaviJavad Parvizi
Jul 28, 2011·The Journal of Bone and Joint Surgery. American Volume·Craig Della ValleUNKNOWN American Academy of Orthopaedic Surgeons
Jan 20, 2012·The Journal of Bone and Joint Surgery. American Volume·Javad ParviziElie Ghanem
Jan 31, 2012·Infectious Disease Clinics of North America·Emily K ShumanPreeti N Malani
May 5, 2012·The Journal of Arthroplasty·Steven M KurtzJavad Parvizi
Sep 21, 2012·The Journal of Bone and Joint Surgery. American Volume·Geoffrey TsarasElie F Berbari
Oct 31, 2012·The Journal of Bone and Joint Surgery. British Volume·S OussedikF S Haddad
Mar 23, 2013·Expert Opinion on Medical Diagnostics·H John Cooper, Craig J Della Valle

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Citations

Feb 15, 2016·Orthopaedics & Traumatology, Surgery & Research : OTSR·J-Y JennyUNKNOWN French Hip, Knee Society (SFHG)
Oct 3, 2015·The Bone & Joint Journal·T GehrkeJ Parvizi
May 18, 2016·Osteoarthritis and Cartilage·S KobayashiM Simic
May 28, 2019·Journal of Orthopaedic Surgery and Research·Haitao GuanJiying Chen
Jun 9, 2020·Journal of UOEH·Takafumi TajimaAkinori Sakai
Apr 24, 2019·Journal of Bone and Joint Infection·Noam ShohatJavad Parvizi
Mar 23, 2017·International Orthopaedics·Daniel Pérez-PrietoJoan C Monllau
Oct 3, 2018·Infection & chemotherapy·Kyung Hwa Park, Robin Patel
Mar 13, 2019·Archives of Orthopaedic and Trauma Surgery·Y InagakiN A Athanasou
Apr 5, 2016·Clinical Orthopaedics and Related Research·Jesse C ChristensenChristopher L Peters
Nov 10, 2020·The Journal of Bone and Joint Surgery. American Volume·Carl DeirmengianRobin Patel

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