Microfluidic and lab-on-a-chip devices for detection and diagnosis of periprosthetic joint infections

Luca Pellegrino1,2, Alberto Bulgarelli3, Cristina Belgiovine4

  • 1Department of Biomedical Sciences, Humanitas University, Via Rita Levi Montalcini 4, Pieve Emanuele, 20072, Italy. luca.pellegrino@humanitasresearch.it.

Biomedical Microdevices
|August 14, 2025
PubMed

Insights

Diagnosing periprosthetic joint infection (PJI) is difficult. Microfluidic and lab-on-a-chip technologies offer a promising solution for rapid and accurate PJI identification, improving patient outcomes.

Area of Science:

  • Biomedical Engineering
  • Infectious Disease Diagnostics
  • Medical Device Technology

Background:

  • Periprosthetic joint infection (PJI) is a severe complication following joint replacement surgery.
  • Current diagnostic methods for PJI are often slow, inaccurate, and lack on-site applicability.
  • PJI presents a significant clinical and economic challenge.

Purpose of the Study:

  • To review the potential of microfluidic and lab-on-a-chip technologies for PJI diagnosis.
  • To highlight advancements in rapid and accurate diagnostic methods for PJI.
  • To address the limitations of current PJI detection protocols.

Main Methods:

  • Review of current literature on microfluidic devices for pathogen detection.
  • Analysis of lab-on-a-chip systems applied to synovial fluid analysis.
  • Evaluation of emerging technologies for PJI diagnostics.

Main Results:

  • Microfluidic and lab-on-a-chip technologies demonstrate potential for rapid pathogen identification in PJI.
  • These technologies can improve the accuracy and efficiency of PJI diagnosis.
  • On-site diagnostic capabilities can be enhanced through miniaturized systems.

Conclusions:

  • Microfluidic and lab-on-a-chip technologies represent a significant advancement in PJI diagnostics.
  • These innovative approaches offer a pathway to faster, more accurate, and accessible PJI detection.
  • Further development and clinical validation are crucial for widespread adoption.