{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T20:36:51Z","timestamp":1773607011862,"version":"3.50.1"},"reference-count":38,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"8","license":[{"start":{"date-parts":[[2016,8,1]],"date-time":"2016-08-01T00:00:00Z","timestamp":1470009600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":["online.boneandjoint.org.uk"],"crossmark-restriction":true},"short-container-title":["The Bone &amp; Joint Journal"],"published-print":{"date-parts":[[2016,8]]},"abstract":"<jats:sec><jats:title>Aims<\/jats:title><jats:p> Using a systematic review, we investigated whether there is an increased risk of post-operative infection in patients who have received an intra-articular corticosteroid injection to the hip for osteoarthritis prior to total hip arthroplasty (THA). <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p> Studies dealing with an intra-articular corticosteroid injection to the hip and infection following subsequent THA were identified from databases for the period between 1990 to 2013. Retrieved articles were independently assessed for their methodological quality. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p> A total of nine studies met the inclusion criteria. Two recommended against a steroid injection prior to THA and seven found no risk with an injection. No prospective controlled trials were identified. Most studies were retrospective. Lack of information about the methodology was a consistent flaw. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p> The literature in this area is scarce and the evidence is weak. Most studies were retrospective, and confounding factors were poorly defined or not addressed. There is thus currently insufficient evidence to conclude that an intra-articular corticosteroid injection administered prior to THA increases the rate of infection. High quality, multicentre randomised trials are needed to address this issue. 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C.","family":"Pereira","sequence":"first","affiliation":[{"name":"Centre Hospitalier Universitaire Vaudois, Site\rH\u00f4pital Orthop\u00e9dique, Avenue Pierre Decker\r4, CH-1011 Lausanne, Switzerland."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Kerr","sequence":"additional","affiliation":[{"name":"Therap-ease Treatment Centre, 382\rMorningside Road, Edinburgh, EH10\r5HX, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B. M.","family":"Jolles","sequence":"additional","affiliation":[{"name":"Centre Hospitalier Universitaire Vaudois, Site\rH\u00f4pital Orthop\u00e9dique, Avenue Pierre Decker\r4, CH-1011 Lausanne, Switzerland."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"42","reference":[{"key":"r1","doi-asserted-by":"publisher","DOI":"10.1002\/art.22739"},{"key":"r2","unstructured":"Atkins E, Kerr J, Goodlad EA Practical Approach to Orthopaedic Medicine: Assessment, Diagnosis and Treatment. 3rd ed. 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Soci\u00e9t\u00e9 Suisse de Rhumatologie et de M\u00e9decine Physique et Readaptation. Recommandations concernant les injections effectu\u00e9es par les m\u00e9decins sp\u00e9cialistes de l\u2019appareil moteur. http:\/\/www.rheuma-net.ch\/download\/Content_filebase\/AttachmentDocument\/injektionen-05-05-f.pdf (date last accessed 10 March 2016)."},{"key":"r28","doi-asserted-by":"publisher","DOI":"10.1016\/0049-0172(81)90001-9"},{"key":"r29","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.81B5.0810886"},{"key":"r30","first-page":"CD003828","volume":"19","author":"Jolles BM","year":"2006","journal-title":"Cochrane Database Syst Rev"},{"key":"r31","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2010.01.105"},{"key":"r32","first-page":"57","volume":"56","author":"Yong KS","year":"2001","journal-title":"Med J Malaysia"},{"key":"r33","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.87B6.15121"},{"key":"r34","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.87B9.16672"},{"key":"r35","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200301000-00004"},{"key":"r36","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.85B7.14095"},{"key":"r37","doi-asserted-by":"publisher","DOI":"10.3109\/17453674.2010.519908"},{"key":"r38","first-page":"672","volume":"79","author":"McMahon SE","year":"2013","journal-title":"Acta Orthop Belg"}],"container-title":["The Bone &amp; Joint Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.98B8.37420","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/full-xml\/10.1302\/0301-620X.98B8.37420","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.98B8.37420","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,10,19]],"date-time":"2021-10-19T10:44:24Z","timestamp":1634640264000},"score":1,"resource":{"primary":{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/10.1302\/0301-620X.98B8.37420"}},"subtitle":["is it safe? a systematic review"],"short-title":[],"issued":{"date-parts":[[2016,8]]},"references-count":38,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2016,8]]}},"alternative-id":["10.1302\/0301-620X.98B8.37420"],"URL":"https:\/\/doi.org\/10.1302\/0301-620x.98b8.37420","relation":{},"ISSN":["2049-4394","2049-4408"],"issn-type":[{"value":"2049-4394","type":"print"},{"value":"2049-4408","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,8]]},"assertion":[{"value":"2015-10-16","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2016-03-10","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2016-08-01","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}