Performance of established test methods for diagnosing chronic periprosthetic joint infections caused by low-virulence pathogens

Synovial fluid %PMN and WBC, and permanent histological sections demonstrated the highest diagnostic performance for diagnosing PJI caused by low-virulence pathogens. Intraoperative frozen sections proved to be a valuable intraoperative tool, particularly in cases with unclear preoperative diagnosis. A lower cut-off for SF-%PMN may be considered to more accurately diagnose these infections.

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Publication Details

Journal
Bone and Joint Research
Published
2025-12-08
DOI
https://doi.org/10.1302/2046-3758.1412.bjr-2025-0236.r1
Citations
1
Primary Topic
Orthopedic Infections and Treatments
Type
article
Field-Weighted Citation Impact
2.01

Funders

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Performance of established test methods for diagnosing chronic periprosthetic joint infections caused by low-virulence pathogens

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Performance of established test methods for diagnosing chronic periprosthetic joint infections caused by low-virulence pathogens

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Abstract

Synovial fluid %PMN and WBC, and permanent histological sections demonstrated the highest diagnostic performance for diagnosing PJI caused by low-virulence pathogens. Intraoperative frozen sections proved to be a valuable intraoperative tool, particularly in cases with unclear preoperative diagnosis. A lower cut-off for SF-%PMN may be considered to more accurately diagnose these infections.

Bone and Joint ResearchVol. 14(12)
Universitätsklinikum Gießen und Marburg (DE), Nuffield Orthopaedic Centre (GB), University of Oxford (GB), Medical University of Vienna (AT)
Universität Wien, Medizinische Universität Wien
Openalex Percentile: Top 10%
Orthopedic Infections and Treatments
2.01
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