Actively Recruiting

Age: 18Years +
All Genders
NCT04858217

Periprosthetic Joint Infections: Diagnostic Accuracy and Cost-effectiveness Analysis of Serum and Synovial Markers

Led by Istituto Ortopedico Rizzoli · Updated on 2025-09-22

270

Participants Needed

1

Research Sites

217 weeks

Total Duration

On this page

Sponsors

I

Istituto Ortopedico Rizzoli

Lead Sponsor

I

IRCCS Azienda Ospedaliero-Universitaria di Bologna

Collaborating Sponsor

AI-Summary

What this Trial Is About

Total joint replacement (TJR) is an increasing effective procedure in orthopedics. However, TJR failure due to aseptic or septic loosening remains an important problem, often due to predisposing factors of the patient, which determine the need to perform a revision surgery. In light of the recent conclusions emerged on the still open problems concerning the diagnostic accuracy of serum and synovial fluid markers in the diagnosis of peri-prosthetic joint infection (PJI), the project aims at evaluating the diagnostic accuracy and cost-effectiveness of the combination of serum and/or synovial markers in the diagnosis of PJI. Through a diagnostic clinical study on patients hospitalized for revision surgery the project would provide evidences on the potentiality of the combination of some markers in accelerating the PJI diagnosis for the best selection of surgical strategy, choosing the suitable cutoff thresholds to mitigate the effect of some factors on markers' discriminatory capability.

CONDITIONS

Official Title

Periprosthetic Joint Infections: Diagnostic Accuracy and Cost-effectiveness Analysis of Serum and Synovial Markers

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Patients requiring hip or knee replacement surgery for late joint prosthesis infection present for at least 90 days
  • Patients requiring hip or knee replacement surgery for non-infectious causes present for at least 90 days
  • No prior re-operations on the same joint
  • Availability of previous clinical, laboratory, and radiological data
Not Eligible

You will not qualify if you...

  • Patients with early joint prosthesis infection with symptoms less than 90 days
  • Patients with joint prosthesis infection in joints other than hip or knee
  • Severe cognitive impairment or psychiatric disorders
  • Pregnant women

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 1 location

1

IRCCS Istituto Ortopedico Rizzoli

Bologna, Italy, 40134

Actively Recruiting

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Research Team

G

Gianluca Giavaresi, MD

CONTACT

M

Milena Fini, MD

CONTACT

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

0

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Periprosthetic Joint Infections: Diagnostic Accuracy and Cost-effectiveness Analysis of Serum and Synovial Markers | DecenTrialz