Sonication fluid cultures enhance pathogen identification in fracture-related-infection (FRI)

Zouitni, Anas; Yusuf, Erlangga; van Oldenrijk, Jakob; Hagenaars, Tjebbe; Croughs, Peter D.; Bos, P. Koen; Eygendaal, Denise; Veltman, Ewout S.

doi:10.5194/jbji-11-431-2026

Articles | Volume 11, issue 4

https://doi.org/10.5194/jbji-11-431-2026

© Author(s) 2026. This work is distributed under
the Creative Commons Attribution 4.0 License.

https://doi.org/10.5194/jbji-11-431-2026

© Author(s) 2026. This work is distributed under
the Creative Commons Attribution 4.0 License.

Articles | Volume 11, issue 4

Original full-length article

|

20 Jul 2026

Original full-length article |

| 20 Jul 2026

Sonication fluid cultures enhance pathogen identification in fracture-related-infection (FRI)

Anas Zouitni, Erlangga Yusuf, Jakob van Oldenrijk, Tjebbe Hagenaars, Peter D. Croughs, P. Koen Bos, Denise Eygendaal, and Ewout S. Veltman

Related authors

Wound drainage after arthroplasty and prediction of acute prosthetic joint infection: prospective data from a multicentre cohort study using a telemonitoring app

Henk Scheper, Rachid Mahdad, Brenda Elzer, Claudia Löwik, Wierd Zijlstra, Taco Gosens, Joris C. T. van der Lugt, Robert J. P. van der Wal, Rudolf W. Poolman, Matthijs P. Somford, Paul C. Jutte, Pieter K. Bos, Richard E. Zwaan, Rob G. H. H. Nelissen, Leo G. Visser, Mark G. J. de Boer, and the wound care app study group

J. Bone Joint Infect., 8, 59–70, https://doi.org/10.5194/jbji-8-59-2023,https://doi.org/10.5194/jbji-8-59-2023, 2023

Short summary

Timing of debridement, antibiotics, and implant retention (DAIR) for early post-surgical hip and knee prosthetic joint infection (PJI) does not affect 1-year re-revision rates: data from the Dutch Arthroplasty Register

Barry van der Ende, Jakob van Oldenrijk, Max Reijman, Peter D. Croughs, Liza N. van Steenbergen, Jan A. N. Verhaar, and P. Koen Bos

J. Bone Joint Infect., 6, 329–336, https://doi.org/10.5194/jbji-6-329-2021,https://doi.org/10.5194/jbji-6-329-2021, 2021

Short summary

Cited articles

Bellova, P., Knop-Hammad, V., Konigshausen, M., Schildhauer, T. A., Gessmann, J., and Baecker, H.: Sonication in the diagnosis of fracture-related infections (FRI) – a retrospective study on 230 retrieved implants, J. Orthop. Surg. Res., 16, 310, https://doi.org/10.1186/s13018-021-02460-z, 2021.

Bezstarosti, H., Van Lieshout, E. M. M., Voskamp, L. W., Kortram, K., Obremskey, W., McNally, M. A., Metsemakers, W. J., and Verhofstad, M. H. J.: Insights into treatment and outcome of fracture-related infection: a systematic literature review, Arch. Orthop. Trauma Surg., 139, 61–72, https://doi.org/10.1007/s00402-018-3048-0, 2019.

Depypere, M., Morgenstern, M., Kuehl, R., Senneville, E., Moriarty, T. F., Obremskey, W. T., Zimmerli, W., Trampuz, A., Lagrou, K., and Metsemakers, W. J.: Pathogenesis and management of fracture-related infection, Clin. Microbiol. Infect., 26, 572–578, https://doi.org/10.1016/j.cmi.2019.08.006, 2020.

Finelli, C. A., da Silva, C. B., Murca, M. A., Dos Reis, F. B., Miki, N., Fernandes, H. A., Dell'Aquila, A., and Salles, M. J.: Microbiological diagnosis of intramedullary nailing infection: comparison of bacterial growth between tissue sampling and sonication fluid cultures, Int. Orthop., 45, 565–573, https://doi.org/10.1007/s00264-020-04771-y, 2021.

Fuchs, M., Kinzel, S., Gwinner, C., Perka, C., Renz, N., and von Roth, P.: Clinically Asymptomatic Patients Show a High Bacterial Colonization Rate of Osteosynthetic Implants Around the Knee but Not the Hip, J. Arthroplasty, 34, 1761–1766, https://doi.org/10.1016/j.arth.2019.03.058, 2019.