Evidence mapPaperPMID 41465792Full record

ReviewLife (Basel, Switzerland)2025

Infection in Joint Arthroplasty: Diagnosis, Prevention, and Treatment Strategies-A Comprehensive Narrative Review.

Jovana Grupkovic, Miroslav Ceculovic, Uros Dabetic, Dejan Aleksandric, Nikola Bogosavljevic, Ranko Lazovic, Slavisa Zagorac

Registry-linked trialAbstract readReview
In one paragraph

Review in Life (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07718386 (The Diagnosis Dilemma), which is not on this 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.

NCT07718386 nacompletednot on this map

The Diagnosis Dilemma: Efficacy of Serum ESR, CRP, Synovial Leucocyte Esterase Dipstick Test in the Diagnosis of Chronic Infection in Total Joint Arthroplasty.

TypeinterventionalSponsorAin Shams UniversityRan2022 to 2024Enrolled80ConditionsPeriprosthetic Joint Infection (PJI)ArmsCRP, ESR, Leukocyte esterase dipstick test
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Effects of Tranexamic Acid in Combination with Teicoplanin AgainstInternational journal of molecular sciences · 2026
    Article
  3. 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

7 authors.

Jovana GrupkovicClinic for Orthopedic Surgery and Traumatology, University Clinical Center of Serbia, 11000 Belgrade, Serbia.ORCID 0009-0005-4102-5452
Miroslav CeculovicClinic for Orthopedic Surgery and Traumatology, University Clinical Center of Serbia, 11000 Belgrade, Serbia.
Uros DabeticClinic for Orthopedic Surgery and Traumatology, University Clinical Center of Serbia, 11000 Belgrade, Serbia.
Dejan AleksandricInstitute for Orthopedic Surgery "Banjica", 11000 Belgrade, Serbia.ORCID 0000-0001-9683-3178
Nikola BogosavljevicFaculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia.ORCID 0009-0005-1036-147X
Ranko LazovicSpecial Surgical Hospital "A3 Medical", 85355 Sutomore, Montenegro.
Slavisa ZagoracClinic for Orthopedic Surgery and Traumatology, University Clinical Center of Serbia, 11000 Belgrade, Serbia.ORCID 0000-0002-0010-0971

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPeriprosthetic joint infection (PJI) remains one of the most severe complications after total joint arthroplasty, causing significant morbidity and healthcare burden. Despite advances in surgical techniques, diagnostics, and antimicrobial therapy, infection rates have not declined substantially, emphasizing the need for comprehensive preventive and therapeutic strategies.

methodsThis narrative review synthesizes evidence from peer-reviewed clinical studies, consensus statements, and major international guidelines addressing periprosthetic joint infection in hip, knee, and shoulder arthroplasty.

resultsRecent evidence highlights advances in diagnostic biomarkers, molecular testing, and standardized consensus criteria that have improved early detection. Surgical strategies such as DAIR, one-stage, and two-stage revisions-combined with biofilm-active antimicrobial therapy-remain the mainstay of management. Preventive measures focusing on perioperative optimization, infection control, and antibiotic stewardship are the most effective means to reduce infection risk.

conclusionsFuture progress relies on precision-based prevention, novel biofilm-targeted therapies, and multidisciplinary collaboration to achieve durable, infection-free outcomes following joint arthroplasty.

Indexed as

antimicrobial therapyarthroplasty infectionbiofilmdiagnosisinfection preventionperiprosthetic joint infectionrevision arthroplastysurgical debridementtreatment strategies

Identifiers

PMID41465792
PMCPMC12733917

What Socratic holds

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Registered trials

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.