Our study showed that ultrasound-guided aspiration of a total hip arthroplasty was more commonly successful and resulted in fewer dry aspirations than fluoroscopy. Ultrasound-guided aspiration yielded a larger volume of fluid than fluoroscopy, even when excluding dry aspirations. Ultrasound was more sensitive than fluoroscopy in diagnosing prosthetic joint infection (PJI) using culture results only and 2018 Musculoskeletal Infection Society (MSIS) International Consensus Meeting (ICM) criteria.

The antibiotic bead pouch is a useful technique for temporary soft tissue coverage. After the introduction of negative wound pressure therapy, it has fallen into oblivion. However, the technique has several advantages, which are highlighted in the present review article. After debridement, the antibiotic beads deliver high dosages of antibiotics suitable for bone cements. This enables a sterile wound, which might help to avoid either infection or progress of infection.

This study investigates the ability of a promising new antibiotic, dalbavancin, to be used as an antibiotic incorporated into polymethyl methacrylate (PMMA) cement or other carriers (such as calcium sulfate) to treat bone and joint infections. For antibiotics to be used locally, they must retain their efficacy after heat exposure during PMMA polymerization and at human core body temperature. This study demonstrates that dalbavancin is stable at the temperatures required for local use.