Presence of Metallosis Can Interfere With Culture Positivity in Prosthetic Joint Infection of the Hip.

ABSTRACT:

Background

Metallosis is a well-described complication of total hip arthroplasty (THA); however, its impact on periprosthetic joint infection (PJI) diagnosis and treatment remains unknown. We assessed whether coexisting metallosis at the time of revision THA is associated with delayed diagnosis and poorer PJI treatment outcomes.

Methods

We retrospectively reviewed patients undergoing revision THA due to chronic and acute hematogenous PJI with coexisting metallosis (metallosis and PJI group). A matched cohort of patients with chronic and acute hematogenous PJI without metallosis was established (control group). The 2018 International Consensus Meeting criteria were used to define PJI. Metallosis was diagnosed based on the intraoperative findings or serum chromium/cobalt level

SUBMITTER: Abdeen A 

PROVIDER: S-EPMC12686647 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature