Articles | Volume 7, issue 3
https://doi.org/10.5194/jbji-7-117-2022
https://doi.org/10.5194/jbji-7-117-2022
Original full-length article
 | 
17 May 2022
Original full-length article |  | 17 May 2022

Simulated large joint fluid model for evaluating intra-articular antibiotic delivery systems: initial evaluation using antibiotic-loaded calcium sulfate beads

Edward J. McPherson, Jessica A. Jennings, Omar Yunis, Michael A. Harris, Matthew V. Dipane, Nora L. Curtin, Madhav Chowdhry, Andrew J. Wassef, Joel D. Bumgardner, and Scott P. Noel

Related authors

Fabrication of antibiotic-loaded dissolvable calcium sulfate beads: an in vitro mixing lab utilizing various antibiotic mixing formulas
Edward J. McPherson, Matthew V. Dipane, Madhav Chowdhry, and Andrew J. Wassef
J. Bone Joint Infect., 6, 405–412, https://doi.org/10.5194/jbji-6-405-2021,https://doi.org/10.5194/jbji-6-405-2021, 2021
Short summary
Pseudomonas aeruginosa biofilm killing beyond the spacer by antibiotic-loaded calcium sulfate beads: an in vitro study
Jacob R. Brooks, Devendra H. Dusane, Kelly Moore, Tripti Gupta, Craig Delury, Sean S. Aiken, Phillip A. Laycock, Anne C. Sullivan, Jeffrey F. Granger, Matthew V. Dipane, Edward J. McPherson, and Paul Stoodley
J. Bone Joint Infect., 6, 119–129, https://doi.org/10.5194/jbji-6-119-2021,https://doi.org/10.5194/jbji-6-119-2021, 2021
Short summary

Related subject area

Subject: Anti-bacterial agents | Topic: Local administration
Local delivery of linezolid in the treatment of complex orthopedic bone and joint infections in patients with vancomycin allergy: a case series
Abhijith Annasamudram, Aja Janyavula, Ahmed H. Elhessy, Raj Krishna Shrestha, Martin Gesheff, and Janet D. Conway
J. Bone Joint Infect., 9, 121–126, https://doi.org/10.5194/jbji-9-121-2024,https://doi.org/10.5194/jbji-9-121-2024, 2024
Short summary
The efficacy of antibiotic-impregnated calcium sulfate (AICS) in the treatment of infected non-union and fracture-related infection: a systematic review
Connor C. Jacob, Jad H. Daw, and Juan Santiago-Torres
J. Bone Joint Infect., 8, 91–97, https://doi.org/10.5194/jbji-8-91-2023,https://doi.org/10.5194/jbji-8-91-2023, 2023
Short summary
Pursuit of the ideal antiseptic irrigation solution in the management of periprosthetic joint infections
Ahmed Siddiqi, Zuhdi E. Abdo, Bryan D. Springer, and Antonia F. Chen
J. Bone Joint Infect., 6, 189–198, https://doi.org/10.5194/jbji-6-189-2021,https://doi.org/10.5194/jbji-6-189-2021, 2021
Short summary
Safety and tolerability of liquid amikacin in antibiotic-loaded bone cement – a case series
Don Bambino Geno Tai, Nathan J. Brinkman, Omar Abu Saleh, Douglas R. Osmon, Matthew P. Abdel, and Christina G. Rivera
J. Bone Joint Infect., 6, 147–150, https://doi.org/10.5194/jbji-6-147-2021,https://doi.org/10.5194/jbji-6-147-2021, 2021
Short summary

Cited articles

Abosala, A. and Ali, M.: The Use of Calcium Sulphate beads in Periprosthetic Joint Infection, a systematic review, J. Bone Joint Infect., 5, 43–49, https://doi.org/10.7150/jbji.41743, 2020. 
Aiken, S. S., Cooper, J. J., Florance, H., Robinson, M. T., and Michell, S.: Local Release of Antibiotics for Surgical Site Infection Management Using High-Purity Calcium Sulfate: An In Vitro Elution Study, Surg. Infect. (Larchmt.), 16, 54–61, https://doi.org/10.1089/sur.2013.162, 2015. 
Andreacchio, A., Alberghina, F., Paonessa, M., Cravino, M., De Rosa, V., and Canavese, F.: Tobramycin-impregnated calcium sulfate pellets for the treatment of chronic osteomyelitis in children and adolescents, J. Pediatr. Orthop. B., 28, 189–195​​​​​​​, https://doi.org/10.1097/BPB.0000000000000517, 2019. 
Bortel, E. L., Charbonnier, B., and Heuberger, R.: Development of a Synthetic Synovial Fluid for Tribological Testing, Lubricants, 3, 664–686​​​​​​​, https://doi.org/10.3390/lubricants3040664, 2015. 
Bowyer, G. W. and Cumberland, N.: Antibiotic release from impregnated pellets and beads, J. Trauma, 36, 31–35, https://doi.org/10.1097/00005373-199403000-00008, 1994. 
Download
Short summary
A simulated large joint model has been established to help better understand the elution mechanics of antimicrobial agents and the devices used to deliver them to a large human joint. This model is unique to previously published models in that it more accurately represents the environment of a large human joint. The model was employed to evaluate four brands of commercial medical-grade calcium sulfate. These products were evaluated in both an unaltered state and when mixed with antibiotics.