Preoperative Aspiration Culture (PAC) for the Diagnosis of Infection in a Prosthetic Knee Joint

Background: Periprosthetic infection is the most serious joint replacement complication, occurring in 0.8-1.9% of totalknee arthroplasties (TKAs).This review aims to define the role of preoperative aspiration culture (PAC) for diagnosis of TKA infection.Methods: A PubMed (MEDLINE) search related to TKA infection and PAC was analyzed. The main criteria for selectionwere that the articles were focused in the aforementioned question.Results: Twenty articles were found, but only fourteen were selected and reviewed because they were deeplyfocused on the topic. PAC has shown an average sensitivity of 67.6% (range, 28% to 100%) and an averagespecificity of 98.4% (range, 96% to 100%).Conclusion: PAC has moderate to high sensitivity and very high specificity for diagnosing TKA infection.Level of evidence: III