Developing a Clinically Representative Model of Periprosthetic Joint Infection.

Carli, Alberto V; Ross, F Patrick; Bhimani, Samrath J; Nodzo, Scott R; Bostrom, Mathias P G · J Bone Joint Surg Am · 2016

basic_science · Level V

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Abstract

➤The poor treatment outcomes for periprosthetic joint infection (PJI) reflect the limited understanding that currently exists regarding the pathogenesis of this devastating clinical problem.➤Current animal models of PJI are limited in their translational nature primarily because of their inability to recreate the periprosthetic environment.➤A greater mechanistic understanding of the musculoskeletal and immune systems of small animals, such as mice and rats, provides a more robust platform for modeling and examining the pathogenesis of PJI.➤A clinically representative PJI model must involve an implant that recreates the periprosthetic space and be amenable to methodologies that identify implant biofilm as well as quantify the peri-implant bacterial load.

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