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Peer-reviewedCC BYJournal of bone and joint infection

Beyond the binary description of sinus tracts in periprosthetic joint infection.

  • Irene K Sigmund1
  • Marjan Wouthuyzen-Bakker2
  • Tristan Ferry3
  • Ricardo Sousa4
  • Daniel Pérez-Prieto5
  • Alex Soriano6,7,8
  • Volker Alt9
  • Willem J Metsemakers10,11
  • Martin Clauss12
  • Rihard Trebse13
13 affiliations
  1. 1Department of Orthopaedics and Traumatology, Medical University of Vienna, Vienna, Austria.
  2. 2Department of Medical Microbiology and Infection Prevention, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.
  3. 3Infectious and Tropical Diseases Unit, Croix-Rousse Hospital, Hospices Civils de Lyon, Université Claude Bernard Lyon 1, Lyon, France.
  4. 4Porto Bone Infection Group (GRIP), Orthopaedic Department, ULS Santo António, Porto, Portugal.
  5. 5Hospital del Mar, Barcelona, Spain, Autonomous University of Barcelona, Barcelona, Spain.
  6. 6Hospital Clinic of Barcelona, Barcelona, Spain.
  7. 7IDIBAPS, Barcelona, Spain.
  8. 8CIBERNIF, Ciber in Infectious Diseases, ISCIII, Madrid, Spain.
  9. 9Department for Trauma Surgery and Regensburg University Center for Muskuloskeletal Infections, University Hospital Regensburg, Regensburg, Germany.
  10. 10Department of Trauma Surgery, University Hospitals Leuven, Leuven, Belgium.
  11. 11Department of Development and Regeneration, KU Leuven, Leuven, Belgium.
  12. 12Center for Musculoskeletal Infections (ZMSI), Department of Orthopaedics and Trauma Surgery, University Hospital Basel, Basel, Switzerland.
  13. 13Orthopaedic Hospital Valdoltra, Ankaran, Slovenia.
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Abstract

Current periprosthetic joint infection (PJI) definitions classify sinus tracts as present or absent. While this binary approach is appropriate for diagnosing PJI, it does not capture the heterogeneity of sinus tracts relevant to surgical decision-making. We propose that future studies explore a standardized characterization of sinus tract complexity to better inform surgical treatment.

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Cite

BibTeXRIS
BibTeX
@article{sigmund2026beyond,
  title = {{Beyond the binary description of sinus tracts in periprosthetic joint infection.}},
  author = {Irene K Sigmund and Marjan Wouthuyzen-Bakker and Tristan Ferry and Ricardo Sousa and Daniel Pérez-Prieto and Alex Soriano and Volker Alt and Willem J Metsemakers and Martin Clauss and Rihard Trebse},
  journal = {Journal of bone and joint infection},
  year = {2026},
  month = oct,
  doi = {10.5194/jbji-11-651-2026},
  url = {https://europepmc.org/article/MED/42898820},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Beyond the binary description of sinus tracts in periprosthetic joint infection.
AU  - Irene K Sigmund
AU  - Marjan Wouthuyzen-Bakker
AU  - Tristan Ferry
AU  - Ricardo Sousa
AU  - Daniel Pérez-Prieto
AU  - Alex Soriano
AU  - Volker Alt
AU  - Willem J Metsemakers
AU  - Martin Clauss
AU  - Rihard Trebse
PY  - 2026
DA  - 2026/10/16
JO  - Journal of bone and joint infection
DO  - 10.5194/jbji-11-651-2026
UR  - https://europepmc.org/article/MED/42898820
AB  - Current periprosthetic joint infection (PJI) definitions classify sinus tracts as present or absent. While this binary approach is appropriate for diagnosing PJI, it does not capture the heterogeneity of sinus tracts relevant to surgical decision-making. We propose that future studies explore a standardized characterization of sinus tract complexity to better inform surgical treatment.
SN  - 2206-3552
ER  -