Author/Authors :
Sayan, Ardalan Department of Orthopaedics - Marshall University - Joan C. Edwards School of Medicine, Huntington, WV, USA , Kopiec, Adam Department of Orthopaedics - Marshall University - Joan C. Edwards School of Medicine, Huntington, WV, USA , Shahi, Alisina Department of Orthopaedics - Marshall University - Joan C. Edwards School of Medicine, Huntington, WV, USA , Chowdhry, Madhav Department of Orthopaedics - Marshall University - Joan C. Edwards School of Medicine, Huntington, WV, USA , Bullock, Matthew Department of Orthopaedics - Marshall University - Joan C. Edwards School of Medicine, Huntington, WV, USA , Oliashirazi, Ali Department of Orthopaedics - Marshall University - Joan C. Edwards School of Medicine, Huntington, WV, USA
Abstract :
Consistent diagnosis of periprosthetic infection in total joint arthroplasty continues to elude the orthopedic surgeon because no gold standard test exists. Therefore clinicians must rely on a combination of tests to help aid the diagnosis. The expanding role of biomarkers has shown promising results to more accurately diagnose an infection when combined with clinical suspicion and bacterial culture testing. This paper reviews the diagnostic capabilities of the most current serum and synovial biomarkers as well as next generation sequencing in the setting of periprosthetic joint infection. Future research and high-powered studies will be necessary to determine sensitivity and specificity of each biomarker
Keywords :
Biomarkers , Diagnosis , Periprosthetic infection , Total joint arthroplasty
