Evidence map›Paper›PMID 40813747›Full record

ArticleDrug delivery and translational research2026

Antimicrobial 3D printed implants for periprosthetic joint infections.

Iván Yuste, Francis C Luciano, Carmina Rodríguez, Bianca I Ramirez, Chrysi Rapti, Brayan J Anaya, Aikaterini Lalatsa, Almudena Ribed-Sánchez, Pablo Sanz-Ruiz, Elena González-Burgos and 1 more

Abstract read
In one paragraph

Article in Drug delivery and translational research, 2026. 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. 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

11 authors.

Iván Yuste *Pharmaceutics and Food Technology Department, Faculty of Pharmacy, Universidad Complutense de Madrid, Plaza Ramón y Cajal s/n, Madrid, 28040, Spain.
Francis C Luciano *Pharmaceutics and Food Technology Department, Faculty of Pharmacy, Universidad Complutense de Madrid, Plaza Ramón y Cajal s/n, Madrid, 28040, Spain.
Carmina RodríguezDepartment of Microbiology and Parasitology, Faculty of Pharmacy, Universidad Complutense de Madrid (UCM), Madrid, Spain.
Bianca I RamirezPharmaceutics and Food Technology Department, Faculty of Pharmacy, Universidad Complutense de Madrid, Plaza Ramón y Cajal s/n, Madrid, 28040, Spain.
Chrysi RaptiPharmaceutics and Food Technology Department, Faculty of Pharmacy, Universidad Complutense de Madrid, Plaza Ramón y Cajal s/n, Madrid, 28040, Spain.
Brayan J AnayaPharmaceutics and Food Technology Department, Faculty of Pharmacy, Universidad Complutense de Madrid, Plaza Ramón y Cajal s/n, Madrid, 28040, Spain.
Aikaterini LalatsaSchool of Pharmacy and Biomedical Sciences, Robertson Wing, University of Strathclyde, 161, Cathedral Street, Glasgow, G4 0RE, Scotland, UK.
Almudena Ribed-SánchezHospital Pharmacy Unit, Hospital General Universitario, Doctor Esquerdo 46, Gregorio Marañón, Madrid, 28029, Spain.
Pablo Sanz-RuizOrthopaedic and Trauma Department, Hospital General Universitario, Gregorio Marañón, Doctor Esquerdo 46, Madrid, 28029, Spain.
Elena González-BurgosDepartment of Pharmacology, Pharmacognosy and Botany, Faculty of Pharmacy, Universidad Complutense de Madrid (UCM), Madrid, Spain. elenagon@ucm.es.
Dolores R SerranoPharmaceutics and Food Technology Department, Faculty of Pharmacy, Universidad Complutense de Madrid, Plaza Ramón y Cajal s/n, Madrid, 28040, Spain. drserran@ucm.es.ORCID 0000-0002-0475-8420

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Periprosthetic joint infections (PJIs) remain a serious complication following hip and knee arthroplasty, affecting 1-5% of patients in developed countries and posing significant challenges to patients, clinicians, and healthcare systems. Conventional prophylactic strategies, such as antibiotic-loaded bone cement, suffer from limited post-implantation drug release and potential compromise of mechanical integrity. To overcome these limitations, we developed a personalized, 3D-printed implant designed to integrate with the acetabular component of joint prostheses. These implants deliver either monotherapy or a combination of amphotericin B (AmB) and vancomycin (VAN), targeting both fungal and bacterial pathogens. Fabricated via fused deposition modeling using a biocompatible polyvinyl alcohol-polyethylene glycol (PVA-PEG) matrix, the implants enable passive drug loading and rapid adhesion to prosthetic surfaces within 60 s, minimizing operative time. In vitro testing confirmed broad-spectrum antimicrobial activity against Candida spp. (C. albicans, C. parapsilosis, C. glabrata, C. krusei) and Staphylococcus spp. (S. aureus, S. epidermidis). VAN was released rapidly, while AmB exhibited sustained release for up to 10 h, with both maintaining saturation solubility for 48 h. Notably, AmB-loaded implants showed five-fold lower hemolytic toxicity compared to free drug. These results highlight the potential of 3D-printed, drug-eluting implants as a clinically viable solution for the prevention and early treatment of PJIs.

Indexed as

Amphotericin BAnti-Bacterial AgentsAnti-Infective AgentsPrinting, Three-DimensionalProsthesis-Related InfectionsVancomycinAnimalsCandidaDrug LiberationHumansMicrobial Sensitivity TestsPolyethylene GlycolsPolyvinyl AlcoholAmphotericin BAnti-Bacterial AgentsAnti-Infective AgentsPolyethylene GlycolsPolyvinyl AlcoholVancomycin3D printingAmphotericin BBone cementHipImplantInfectionKneePJIsProsthesisVancomycin

Identifiers

PMID40813747
PMCPMC13038732

What Socratic holds

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LicenceCC BY
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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 Socratic graph.