Diagnostic and prognostic relevance of plain radiographs for periprosthetic joint infections of the hip: a literature review
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Diagnostic and prognostic relevance of plain radiographs for periprosthetic joint infections of the hip: a literature review. / Hofmann, Ulf Krister; Eleftherakis, Georgios; Migliorini, Filippo; Fink, Bernd; Mederake, Moritz.
in: EUR J MED RES, Jahrgang 29, Nr. 1, 08.06.2024, S. 314.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Review › Forschung
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T1 - Diagnostic and prognostic relevance of plain radiographs for periprosthetic joint infections of the hip: a literature review
AU - Hofmann, Ulf Krister
AU - Eleftherakis, Georgios
AU - Migliorini, Filippo
AU - Fink, Bernd
AU - Mederake, Moritz
N1 - © 2024. The Author(s).
PY - 2024/6/8
Y1 - 2024/6/8
N2 - Conventional radiography is regularly used to evaluate complications after total hip arthroplasty. In various recent consensus meetings, however, plain radiographs of a potentially infected hip joint have been judged as being only relevant to exclude diagnoses other than infection. Solid data on radiographic presentations of periprosthetic joint infection (PJI) are scarce. As a result, the prognostic value of radiological features in low-grade PJI remains uncertain. The present review article aims to present an overview of the available literature and to develop ideas on future perspectives to define the diagnostic possibilities of radiography in PJIs of the hip. The primary outcome of interest of this systematic review was the radiologic presentation of periprosthetic joint infections of the hip. As secondary outcome of interest served the sensitivity and specificity of the radiologic presentation of periprosthetic joint infections. Of the included articles, 26 were reviews, essays, or case reports and only 18 were clinical studies. Typical radiologic abnormalities of PJI were a periosteal reaction, a wide band of radiolucency at the cement-bone or metal-bone interface, patchy osteolysis, implant loosening, bone resorption around the implant, and transcortical sinus tracts. The frequency of their occurrence is still inadequately defined. A deeper understanding of the underlying causes and the relation between microorganisms to radiologic abnormalities can probably help clinicians in the future to diagnose a PJI. This is why further research shall focus on the radiographic features of PJI.
AB - Conventional radiography is regularly used to evaluate complications after total hip arthroplasty. In various recent consensus meetings, however, plain radiographs of a potentially infected hip joint have been judged as being only relevant to exclude diagnoses other than infection. Solid data on radiographic presentations of periprosthetic joint infection (PJI) are scarce. As a result, the prognostic value of radiological features in low-grade PJI remains uncertain. The present review article aims to present an overview of the available literature and to develop ideas on future perspectives to define the diagnostic possibilities of radiography in PJIs of the hip. The primary outcome of interest of this systematic review was the radiologic presentation of periprosthetic joint infections of the hip. As secondary outcome of interest served the sensitivity and specificity of the radiologic presentation of periprosthetic joint infections. Of the included articles, 26 were reviews, essays, or case reports and only 18 were clinical studies. Typical radiologic abnormalities of PJI were a periosteal reaction, a wide band of radiolucency at the cement-bone or metal-bone interface, patchy osteolysis, implant loosening, bone resorption around the implant, and transcortical sinus tracts. The frequency of their occurrence is still inadequately defined. A deeper understanding of the underlying causes and the relation between microorganisms to radiologic abnormalities can probably help clinicians in the future to diagnose a PJI. This is why further research shall focus on the radiographic features of PJI.
KW - Humans
KW - Prosthesis-Related Infections/diagnostic imaging
KW - Prognosis
KW - Arthroplasty, Replacement, Hip/adverse effects
KW - Radiography/methods
KW - Hip Joint/diagnostic imaging
KW - Hip Prosthesis/adverse effects
U2 - 10.1186/s40001-024-01891-8
DO - 10.1186/s40001-024-01891-8
M3 - SCORING: Review article
C2 - 38849967
VL - 29
SP - 314
JO - EUR J MED RES
JF - EUR J MED RES
SN - 0949-2321
IS - 1
ER -