{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,22]],"date-time":"2026-08-22T10:22:38Z","timestamp":1787394158784,"version":"build-2736575974"},"reference-count":10,"publisher":"Elsevier BV","issue":"9","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["arthroplastyjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Arthroplasty"],"published-print":{"date-parts":[[2026,9]]},"DOI":"10.1016\/j.arth.2025.12.004","type":"journal-article","created":{"date-parts":[[2025,12,11]],"date-time":"2025-12-11T03:00:42Z","timestamp":1765422042000},"page":"2833-2836","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Draining Sinus Tracts and Periprosthetic Joint Infections: Traditional Synovial Fluid Counts May Be Misleading"],"prefix":"10.1016","volume":"41","author":[{"given":"Kareme D.","family":"Alder","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evan M.","family":"Dugdale","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Douglas R.","family":"Osmon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas A.","family":"Bedard","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel J.","family":"Berry","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2398-1724","authenticated-orcid":false,"given":"Matthew P.","family":"Abdel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.arth.2025.12.004_bib1","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1007\/s11999-010-1433-2","article-title":"The mark Coventry award: diagnosis of early postoperative TKA infection using synovial fluid analysis","volume":"469-1","author":"Bedair","year":"2011","journal-title":"Clin Orthop Rel Res"},{"key":"10.1016\/j.arth.2025.12.004_bib2","first-page":"338","article-title":"Diagnosis and management of prosthetic joint infection","volume":"28","author":"Matthews","year":"2009","journal-title":"BMJ July"},{"key":"10.1016\/j.arth.2025.12.004_bib3","doi-asserted-by":"crossref","first-page":"574","DOI":"10.1016\/j.arth.2021.11.007","article-title":"Laboratory value effectiveness in predicting early postoperative periprosthetic joint infection after total hip arthroplasty","volume":"37-3","author":"Dugdale","year":"2022","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2025.12.004_bib4","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1302\/0301-620X.103B6.BJJ-2020-2397.R1","article-title":"The effectiveness of laboratory tests to predict early postoperative periprosthetic infection after total knee arthroplasty","volume":"103-B","author":"Uvodich","year":"2021","journal-title":"Bone Joint J"},{"key":"10.1016\/j.arth.2025.12.004_bib5","doi-asserted-by":"crossref","first-page":"424","DOI":"10.1007\/s11999-013-3089-1","article-title":"The 2013 Frank Stinchfield award: diagnosis of infection in the early postoperative period after total hip arthroplasty","volume":"472-2","author":"Yi","year":"2014","journal-title":"Clin Orthop Rel Res"},{"key":"10.1016\/j.arth.2025.12.004_bib6","doi-asserted-by":"crossref","first-page":"2043","DOI":"10.2106\/JBJS.20.00257","article-title":"Determining diagnostic thresholds for acute postoperative periprosthetic joint infection","volume":"102-23","author":"Sukhonthamarn","year":"2020","journal-title":"J Bone Joint Surg Am"},{"key":"10.1016\/j.arth.2025.12.004_bib7","doi-asserted-by":"crossref","first-page":"2244","DOI":"10.1007\/s11999-015-4142-z","article-title":"Premature therapeutic antimicrobial treatments can compromise the diagnosis of late periprosthetic joint infection","volume":"473-7","author":"Shahi","year":"2015","journal-title":"Clin Orthop Rel Res"},{"key":"10.1016\/j.arth.2025.12.004_bib8","doi-asserted-by":"crossref","first-page":"S286","DOI":"10.1016\/j.arth.2022.02.064","article-title":"Recent antibiotic treatment impacts serum and synovial laboratory values in early periprosthetic joint infection workup","volume":"37-6S","author":"Dugdale","year":"2022","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2025.12.004_bib9","doi-asserted-by":"crossref","first-page":"1309","DOI":"10.1016\/j.arth.2018.02.078","article-title":"The 2018 definition of periprosthetic hip and knee infection: an evidence-based and validated criteria","volume":"33-5","author":"Parvizi","year":"2018","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2025.12.004_bib10","doi-asserted-by":"crossref","first-page":"2992","DOI":"10.1007\/s11999-011-2102-9","article-title":"New definition for Periprosthetic joint infection: from the Workgroup of the Musculoskeletal Infection Society","volume":"469","author":"Parvizi","year":"2011","journal-title":"Clin Orthop Rel Res"}],"container-title":["The Journal of Arthroplasty"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0883540325015281?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0883540325015281?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,8,22]],"date-time":"2026-08-22T09:22:34Z","timestamp":1787390554000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0883540325015281"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9]]},"references-count":10,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["S0883540325015281"],"URL":"https:\/\/doi.org\/10.1016\/j.arth.2025.12.004","relation":{},"ISSN":["0883-5403"],"issn-type":[{"value":"0883-5403","type":"print"}],"subject":[],"published":{"date-parts":[[2026,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Draining Sinus Tracts and Periprosthetic Joint Infections: Traditional Synovial Fluid Counts May Be Misleading","name":"articletitle","label":"Article Title"},{"value":"The Journal of Arthroplasty","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.arth.2025.12.004","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}