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. 2013 Sep 21;472(3):1036–1042. doi: 10.1007/s11999-013-3294-y

Table 1.

Included studies

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.