{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:26:34Z","timestamp":1787754394467,"version":"build-2784847793"},"reference-count":17,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>We report the cases of 2 male patients (aged 66 and 48) with hip avascular necrosis (AVN) and no history of hip infection, who presented pus-like synovial fluid during primary total hip arthroplasty (THA). Intraoperative C-reactive protein was normal, and cultures remained negative. Both underwent uncomplicated THA with favorable outcomes at 1-year follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Pus-like joint fluid can occur in AVN without infection. Negative cultures in both cases suggest this finding is related to AVN pathology rather than septic arthritis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.25.00375","type":"journal-article","created":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T19:00:46Z","timestamp":1768503646000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Pus-Like Synovial Fluid in Native Hips with Avascular Necrosis During Total Hip Arthroplasty"],"prefix":"10.2106","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2172-2542","authenticated-orcid":false,"given":"Marcos Ra\u00fal","family":"Latorre","sequence":"first","affiliation":[{"name":"Institute of Orthopedics \u201cCarlos E. Ottolenghi\u201d, Hospital Italiano de Buenos Aires, Ciudad Autonoma de Buenos Aires, Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-6557-3035","authenticated-orcid":false,"given":"Facundo","family":"Delgado","sequence":"additional","affiliation":[{"name":"Institute of Orthopedics \u201cCarlos E. Ottolenghi\u201d, Hospital Italiano de Buenos Aires, Ciudad Autonoma de Buenos Aires, Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8957-075X","authenticated-orcid":false,"given":"Pablo A.I.","family":"Slullitel","sequence":"additional","affiliation":[{"name":"Institute of Orthopedics \u201cCarlos E. Ottolenghi\u201d, Hospital Italiano de Buenos Aires, Ciudad Autonoma de Buenos Aires, Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2848-2983","authenticated-orcid":false,"given":"Fernando Mart\u00edn","family":"Comba","sequence":"additional","affiliation":[{"name":"Institute of Orthopedics \u201cCarlos E. Ottolenghi\u201d, Hospital Italiano de Buenos Aires, Ciudad Autonoma de Buenos Aires, Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3329-778X","authenticated-orcid":false,"given":"Mart\u00edn Alejandro","family":"Buttaro","sequence":"additional","affiliation":[{"name":"Institute of Orthopedics \u201cCarlos E. Ottolenghi\u201d, Hospital Italiano de Buenos Aires, Ciudad Autonoma de Buenos Aires, Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,1]]},"reference":[{"key":"bib1-20260115","first-page":"402","article-title":"Concomitant septic arthritis of the hip in patients with osteonecrosis of the femoral head","volume":"35","author":"Lee","year":"2019","journal-title":"Surg Technol Int."},{"issue":"3","key":"bib2-20260115","doi-asserted-by":"crossref","first-page":"877","DOI":"10.1007\/s11999-011-2048-y","article-title":"Accumulation of fatty marrow in the osteonecrotic hip mimicking joint infection","volume":"470","author":"Kim","year":"2012","journal-title":"Clin Orthop Relat Res."},{"issue":"9","key":"bib3-20260115","doi-asserted-by":"crossref","first-page":"2636","DOI":"10.1007\/s11999-012-2416-2","article-title":"In brief: ficat classification: avascular necrosis of the femoral 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