Periprosthetic joint infections in femoral neck fracture patients treated with hemiarthroplasty – should we use antibiotic-loaded bone cement?

Table 1 Criteria for diagnosis of periprosthetic joint infection according to the Musculoskeletal Infection Society Workgroup[15]

PJI exists when

(1) There is a sinus tract communicating with the prosthesis; or (2) A pathogen is isolated by culture from at least two separate tissue or fluid samples obtained from the affected prosthetic joint; or (3) Four of the following six criteria exist: (a) Elevated serum erythrocyte sedimentation rate (ESR) and serum C-reactive protein (CRP) concentration; (b) Elevated synovial leukocyte count; (c) Elevated synovial neutrophil percentage (PMN%); (d) Presence of purulence in the affected joint; (e) Isolation of a microorganism in one culture of periprosthetic tissue or fluid; or (f) Greater than five neutrophils per high-power field in five high-power fields observed from histologic analysis of periprosthetic tissue at 9400 magnification.

PJI: Periprosthetic joint infection.