Articles | Volume 7, issue 6
https://doi.org/10.5194/jbji-7-259-2022
https://doi.org/10.5194/jbji-7-259-2022
Review
 | 
13 Dec 2022
Review |  | 13 Dec 2022

The concordance between preoperative synovial fluid culture and intraoperative tissue cultures in periprosthetic joint infection: a systematic review

Thomas J. A. van Schaik, Lex D. de Jong, Maurits P. A. van Meer, Jon H. M. Goosen, and Matthijs P. Somford

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Cited articles

Ahmad, S. S., Shaker, A., Saffarini, M., Chen, A. F., Hirschmann, M. T., and Kohl, S.: Accuracy of diagnostic tests for prosthetic joint infection: a systematic review, Knee Surg. Sports Traumatol. Arthrosc., 24, 3064–3074, https://doi.org/10.1007/S00167-016-4230-Y, 2016. 
American Academy of Orthopaedic Surgeons: Diagnosis and Prevention of Periprosthetic Joint Infections Evidence-Based Clinical Practice Guideline, https://www.aaos.org/pjicpg (last access: 10 December 2022), 11 March 2019. 
Atkins, B. L., Athanasou, N., Deeks, J., Crook, D. W. M., Simpson, H., Peto, T., Mclardy-Smith, P., Berendt, A. R., Benson, M., Carr, A., Collopy, D., Cooke, P., Kenwright, J., McClardy-Smith, P., Simpson, H., de Steiger, R., Gundle, R., Willett, K., Atkins, B., Berendt, A., Bowler, I., Conlon, C., Crook, D., Emptage, A., and Athanasou, N.: Prospective evaluation of criteria for microbiological diagnosis of prosthetic-joint infection at revision arthroplasty. The OSIRIS Collaborative Study Group, J. Clin. Microbiol., 36, 2932–2939, https://doi.org/10.1128/JCM.36.10.2932-2939.1998, 1998. 
Boyle, K. K., Kapadia, M., Chiu, Y. F., Khilnani, T., Miller, A. O., Henry, M. W., Lyman, S., and Carli, A. V.: The James A. Rand Young Investigator's Award: Are Intraoperative Cultures Necessary If the Aspiration Culture Is Positive? A Concordance Study in Periprosthetic Joint Infection, J. Arthroplasty, 36, S4–S10, https://doi.org/10.1016/j.arth.2021.01.073, 2021. 
Christensen, T. H., Ong, J., Lin, D., Aggarwal, V. K., Schwarzkopf, R., and Rozell, J. C.: How Does a “Dry Tap” Impact the Accuracy of Preoperative Aspiration Results in Predicting Chronic Periprosthetic Joint Infection?, J. Arthroplasty, 37, 925–929, https://doi.org/10.1016/j.arth.2022.01.066, 2022. 
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Short summary
This systematic review presents the results regarding the concordance rate between preoperative synovial fluid and intraoperative tissue culturing in patients with a prosthetic joint infection (PJI). The included studies had heterogeneous results and were at a high risk of bias. Higher-quality future research may help to better understand the true concordance between these cultures. This may result in better guidance for orthopedic surgeons regarding the treatment of patients with PJI.