Table 1.
Study | Year | Number of patients | Criteria for initial diagnosis | Cement + antibiotics | Design | Mean followup (years) | Criteria for reinfection | MINORS score |
---|---|---|---|---|---|---|---|---|
Carlsson et al. [4] | 1985 | 72 | Not specified | Cement with gentamycin | Prospective | 3.3 | Pain, elevated CRP and ESR, loosening on radiographs or positive cultures | 13 |
De Man et al. [6] | 2011 | 72 | At least 2 cultures or histology | Cementless or cement with gentamycin | Retrospective | 2 | Clinical or radiologic signs, CRP ≥ 10 mg/L, ESR ≥ 20 mm/hour | 15 |
Garvin et al. [8] | 1994 | 40 | Deep aspiration and culture | Cement with gentamycin | Retrospective | 5.7 | Rerevision with positive cultures | 11 |
Hope et al. [11] | 1989 | 91 | Deep tissue biopsy - CNS | Cement with gentamycin | Retrospective | 3 | Rerevision with positive cultures | 11 |
Klouche et al. [13] | 2012 | 84 | Preoperative or intraoperative culture | Cementless or cement without antibiotics | Prospective | 2 | Positive culture from aspiration of joint | 19 |
Morscher et al. [21] | 1990 | 62 | Clinical features/culture | Cementless or cement without antibiotics | Retrospective | 3 | Rerevision with positive cultures | 16 |
Oussedik et al. [22] | 2010 | 50 | Clinical features/culture | Cementless or cement with gentamycin | Prospective | 6.8 | Rerevision with positive cultures | 19 |
Sanzen et al. [24] | 1988 | 102 | Positive culture | Cement with gentamycin | Retrospective | 6 | Wound, pain with ESR ≥ 35 mm/hour and no other mechanical explanation | 14 |
Wilson & Dorr [28] | 1989 | 22 | Clinical only | Cementless or cement without antibiotics | Retrospective | 3.1 | Sinus, fever, pain with ESR ≥ 35 mm/hour, radiographic changes. If doubtful aspiration performed. | 17 |
MINORS = Methodological Index for NOn-Randomized Studies, maximum MINORS score is 24; CRP = C-reactive protein (normal, < 10 mg/L); ESR = erythrocyte sedimentation rate (normal, < 30 mm/hour); CNS = coagulase-negative staphylococcus.