Skip to main content
SpringerLink
Log in
Book cover

Infected Total Joint Arthroplasty pp 23–30Cite as

The Definition of Prosthetic Joint Infections (PJI)

  • Chapter
  • First Online:

  • 1076 Accesses

Abstract

It seems simple to define what a PJI is. The problem is that definitions vary depending on the author involved. It has become accepted that the PJI diagnosis is confirmed when there is purulence around the joint, there is a communication between the skin and the implant, and when causative agent(s) are isolated in multiple samples. In this chapter each of these criteria is discussed in some detail to help in diagnosing PJI as unambiguously as possible.

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   129.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Trampuz A, Piper KE, Jacobson MJ, Hanssen AD, Unni KK, Osmon DR, Mandrekar JN, Cockerill FR, Steckelberg JM, Greenleaf JF, Patel R. Sonication of removed hip and knee prostheses for diagnosis of infection. N Engl J Med. 2007;357:654–63.

    Article  PubMed  CAS  Google Scholar 

  2. AAOS (American academy of orthopedic surgeons). The diagnosis of periprosthetic joint infections in the hip or knee. Guideline and evidence report. 1st ed. AAOS, Rosmont. 2010. http://www.aaos.org/research/guidelines/guide.asp

  3. Del Pozzo JL, Patel R. Infections associated with prosthetic joints. N Eng J Med. 2009;361:787–94.

    Article  Google Scholar 

  4. Mihalič R, Trebše R, Terčič D, Trampuž A. Synovial fluid cell count for rapid and accurate intraoperative diagnosis of prosthetic joint infection. In: 10th EFORT Congress, Vienna. 2009.

    Google Scholar 

  5. Trampuž A, Hanssen AD, Osmon DR, Mandrekar J, Steckelberg JM, Patel R. Synovial fluid leukocyte count and differential for the diagnosis of prosthetic knee infection. Am J Med. 2004;117:556–62.

    Article  PubMed  Google Scholar 

  6. Canadian Hip Resurfacing Study Group. A survey on the prevalence of pseudotumors with metal-on-metal hip resurfacing in Canadian academic centers. J Bone Joint Surg. 2011;93 Suppl 2:118–21.

    Google Scholar 

  7. Milošev I, Trebše R, Simon K, Andrej C, Venčeslav P. Results and retrieval analysis in Sikomet metal-on-metal total hip arthroplasty at a mean follow-up of seven years. J Bone Joint Surg Am. 2006;88:1173–82.

    Article  PubMed  Google Scholar 

  8. Glyn-Jones S, Roques A, Taylor A, Kwon YM, McLardy-Smith P, Gill HS, Walter W, Tuke M, Murray D. The in vivo linear and volumetric wear of hip resurfacing implants revised for pseudotumor. J Bone Joint Surg. 2011;93:2180–8.

    Article  PubMed  Google Scholar 

  9. Bauer TW, Parvizi J, Kobayashi N, Krebs V. Diagnosis of periprosthetic infection. J Bone Joint Surg. 2006;88:869–82.

    Article  PubMed  Google Scholar 

  10. Trampuž A, Hanssen AD, Osmon DR, Mandrekar J, Steckelberg JM, Patel R. Synovial fluid leukocyte count and differential for diagnosis of prosthetic knee infection. Am J Med. 2006;117:556–62.

    Article  Google Scholar 

  11. Bernard L, Lubbeke A, Stern R, Bru JP, Feron JM, Peyramond D, Denormandie P, Arvieux C, Chirouze C, Perronne C, Hoffmeyer P. Value of preoperative investigations in diagnosing prosthetic joint infection: retrospective cohort study and literature review. Scand J Infect Dis. 2004;36:410–6.

    Article  PubMed  Google Scholar 

  12. Ali F, Wilkinson JM, Cooper JR, Kerry RM, Hamer AJ, Norman P, Stockley I. Accuracy of joint aspiration for the preoperative diagnosis of infection in total hip arthroplasty. J Arthroplasty. 2006;21:221–6.

    Article  PubMed  Google Scholar 

  13. Meermans G, Haddad FS. Is there a role for tissue biopsy in the diagnosis of periprosthetic infection? Clin Ortop. 2010;468:1410–7.

    Article  Google Scholar 

  14. Costerton JW. Biofilm theory can guide the treatment of device-related orthopaedic infections. Clin Orthop Relat Res. 2005;437:7–11.

    Article  PubMed  Google Scholar 

  15. Tunney MM, Patrick S, Gorman SP. Improved detection of infection in hip replacements: a currently underestimated problem. J Bone Joint Surg. 1998;80:568–72.

    Article  CAS  Google Scholar 

  16. Mackowiak PA, Jones SR, Smith JW. Diagnostic value of sinus-tract cultures in chronic ­osteomyelitis. JAMA. 1978;239:2772–5.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department for Bone Infections and Adult Reconstructions, Orthopaedic Hospital Valdoltra, Jadranska cesta 31, Ankaran, SI-6286, Slovenia

    Rihard Trebše M.D., Ph.D.

  2. Division of Infectious Diseases & Septic Unit, University Hospital of Lausanne, Rue du Bugnon 46, Lausanne, CH-1011, Switzerland

    Andrej Trampuž M.D.

Authors
  1. Rihard Trebše M.D., Ph.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Andrej Trampuž M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Rihard Trebše M.D., Ph.D. .

Editor information

Editors and Affiliations

  1. Orthopedic Hospital Valdoltra, Ankaran, 6280, Koper, Slovenia

    Rihard Trebše

Rights and permissions

Reprints and permissions

Copyright information

© 2012 Springer-Verlag London

About this chapter

Cite this chapter

Trebše, R., Trampuž, A. (2012). The Definition of Prosthetic Joint Infections (PJI). In: Trebše, R. (eds) Infected Total Joint Arthroplasty. Springer, London. https://doi.org/10.1007/978-1-4471-2482-5_4

Download citation

  • DOI: https://doi.org/10.1007/978-1-4471-2482-5_4

  • Published:

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-2481-8

  • Online ISBN: 978-1-4471-2482-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation