No difference in failure between static, articulating, and prosthetic low-friction spacers for periprosthetic  joint infection of total knee arthroplasty

Shannon, Michael F.; Edwards, Timothy; Maurer, Timothy; Frear, Andrew J.; Wong, Victoria R.; Sadhwani, Shaan; Smith, Clair; Kamson, Anthony; Omslaer, Brian; Cisneros, Christian; Gordon, Andrew; Williams, Akeem; Shah, Neel B.; Urish, Kenneth L.

doi:https://doi.org/10.5194/jbji-10-243-2025

Articles | Volume 10, issue 4

https://doi.org/10.5194/jbji-10-243-2025

© Author(s) 2025. This work is distributed under
the Creative Commons Attribution 4.0 License.

https://doi.org/10.5194/jbji-10-243-2025

© Author(s) 2025. This work is distributed under
the Creative Commons Attribution 4.0 License.

Articles | Volume 10, issue 4

Original full-length article

|

30 Jul 2025

Original full-length article |

| 30 Jul 2025

No difference in failure between static, articulating, and prosthetic low-friction spacers for periprosthetic joint infection of total knee arthroplasty

Michael F. Shannon, Timothy Edwards, Timothy Maurer, Andrew J. Frear, Victoria R. Wong, Shaan Sadhwani, Clair Smith, Anthony Kamson, Brian Omslaer, Christian Cisneros, Andrew Gordon, Akeem Williams, Neel B. Shah, and Kenneth L. Urish

Related authors

Type of acute periprosthetic joint infection may not affect failure of debridement, antibiotics, and implant retention after total knee arthroplasty

Andrew J. Frear, Michael F. Shannon, Shaan Sadhwani, Anthony O. Kamson, Clair Smith, Charity G. Patterson, Victoria R. Wong, Frank Johannes Plate, and Kenneth L. Urish

J. Bone Joint Infect., 10, 225–235, https://doi.org/10.5194/jbji-10-225-2025,https://doi.org/10.5194/jbji-10-225-2025, 2025

Short summary

Type of acute periprosthetic joint infection may not affect failure of debridement, antibiotics, and implant retention after total knee arthroplasty

Andrew J. Frear, Michael F. Shannon, Shaan Sadhwani, Anthony O. Kamson, Clair Smith, Charity G. Patterson, Victoria R. Wong, Frank Johannes Plate, and Kenneth L. Urish

J. Bone Joint Infect., 10, 225–235, https://doi.org/10.5194/jbji-10-225-2025,https://doi.org/10.5194/jbji-10-225-2025, 2025

Short summary

The Staphylococcus aureus toxin–antitoxin system YefM–YoeB is associated with antibiotic tolerance and extracellular dependent biofilm formation

Xinyu Qi, Kimberly M. Brothers, Dongzhu Ma, Jonathan B. Mandell, Niles P. Donegan, Ambrose L. Cheung, Anthony R. Richardson, and Kenneth L. Urish

J. Bone Joint Infect., 6, 241–253, https://doi.org/10.5194/jbji-6-241-2021,https://doi.org/10.5194/jbji-6-241-2021, 2021

Short summary

Related subject area

Subject: Arthroplasty | Topic: All topics

Differential synovial fluid white blood cell count for the diagnosis of chronic peri-prosthetic joint infection – a systematic review and meta-analysis

Marta Sabater-Martos, Martin Clauss, Ana Ribau, Ricardo Sousa, and on behalf of the Leukocyte Count Synovial Fluid working group for the Unified PJI definition task force

J. Bone Joint Infect., 10, 165–184, https://doi.org/10.5194/jbji-10-165-2025,https://doi.org/10.5194/jbji-10-165-2025, 2025

Short summary

Total hip arthroplasty performed in summer is not associated with increased risk of revision due to prosthetic joint infection: a cohort study on 58 449 patients with osteoarthritis from the Danish Hip Arthroplasty Register

Rajzan Joanroy, Jens Kjølseth Møller, Sophie Gubbels, Søren Overgaard, and Claus Varnum

J. Bone Joint Infect., 9, 1–8, https://doi.org/10.5194/jbji-9-1-2024,https://doi.org/10.5194/jbji-9-1-2024, 2024

Short summary

Viewpoint: Periprosthetic joint infection and dental antibiotic prophylaxis guidelines

Miao Xian Zhou, Elie F. Berbari, Cory G. Couch, Scott F. Gruwell, and Alan B. Carr

J. Bone Joint Infect., 6, 363–366, https://doi.org/10.5194/jbji-6-363-2021,https://doi.org/10.5194/jbji-6-363-2021, 2021

Short summary

Cited articles

Aali Rezaie, A., Goswami, K., Shohat, N., Tokarski, A. T., White, A. E., and Parvizi, J.: Time to Reimplantation: Waiting Longer Confers No Added Benefit, J. Arthroplast., 33, 1850–1854, https://doi.org/10.1016/j.arth.2018.01.073, 2018.

Akgun, D., Trampuz, A., Perka, C., and Renz, N.: High failure rates in treatment of streptococcal periprosthetic joint infection: results from a seven-year retrospective cohort study, Bone Joint J., 99-B, 653–659, https://doi.org/10.1302/0301-620X.99B5.BJJ-2016-0851.R1, 2017.

Bozic, K. J., Kurtz, S. M., Lau, E., Ong, K., Chiu, V., Vail, T. P., Rubash, H. E., and Berry, D. J.: The epidemiology of revision total knee arthroplasty in the United States, Clin. Orthop. Relat. Res., 468, 45–51, https://doi.org/10.1007/s11999-009-0945-0, 2010.

Chao, R., Rothenberger, S. D., Frear, A. J., Hamlin, B. R., Klatt, B. A., Shah, N. B., and Urish, K. L.: Benefits and Adverse Events Associated With Extended Antibiotic Use for One Year Following Periprosthetic Joint Infection in Total Knee Arthroplasty: A Prospective Cohort Analysis, J. Arthroplast., https://doi.org/10.1016/j.arth.2024.10.061, in press, 2024.

Cheung, G. Y. C., Bae, J. S., and Otto, M.: Pathogenicity and virulence of Staphylococcus aureus, Virulence, 12, 547–569, https://doi.org/10.1080/21505594.2021.1878688, 2021.