ArticleInternational orthopaedics2013
Evaluation of an interdisciplinary therapy algorithm in patients with prosthetic joint infections.
Article in International orthopaedics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.
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Who cites it
27 citing papers in PubMed, 67 citations in OpenAlex.
- From image to index: diagnostic accuracy of a novel semi-quantitative approach for assessing suspected periprosthetic joint infection with triple-phase bone scintigraphy.Annals of nuclear medicine · 2025Article
- The Impact of a Dedicated Multidisciplinary Team Approach for Prosthetic Joint Infections of the Lower Limb.Indian journal of orthopaedics · 2023Article
- [Use of custom-made acetabular components (CMAC) as part of a two-stage procedure in patients with severe periacetabular bone loss].Operative Orthopadie und Traumatologie · 2022Article
- The role of multidisciplinary teams in musculoskeletal infection.Bone & joint research · 2022Article
- Synovial Complement Factors in Patients with Periprosthetic Joint Infection after Undergoing Revision Arthroplasty of the Hip or Knee Joint.Diagnostics (Basel, Switzerland) · 2021Article
- Long-Term Patient-Related Quality of Life after Knee Periprosthetic Joint Infection.Journal of clinical medicine · 2021Article
- [Periprosthetic fractures of the acetabulum: revision endoprosthetics].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2020Review
- A case series of cementless revision total knee arthroplasty in patients with benzoyl peroxide allergy.International orthopaedics · 2019Article
- Osseous hydatidosis of the proximal femur: a rare diagnosis in revision total hip arthroplasty.Infection · 2019Article
- Article
- Fluid collection bags pose a threat for bacterial contamination in primary total hip arthroplasty: a prospective, internally controlled, non-blinded trial.Archives of orthopaedic and trauma surgery · 2018Article
- Novel Diagnostics in Revision Arthroplasty: Implant Sonication and Multiplex Polymerase Chain Reaction.Journal of visualized experiments : JoVE · 2017Article
- Pre-operative intra-articular deep tissue sampling with novel retrograde forceps improves the diagnostics in periprosthetic joint infection.International orthopaedics · 2017Article
- RANK-ligand and osteoprotegerin as biomarkers in the differentiation between periprosthetic joint infection and aseptic prosthesis loosening.World journal of orthopedics · 2017Article
- Polymicrobial infections reduce the cure rate in prosthetic joint infections: outcome analysis with two-stage exchange and follow-up ≥two years.International orthopaedics · 2016Article
- Bilateral One-Stage Revision of Infected Total Hip Arthroplasties: Report of Two Cases and Management of Antibiotic Therapy.Case reports in orthopedics · 2016Article
- [Antimicrobial prosthesis coatings].Der Orthopade · 2015Review
- Validation of the Charlson comorbidity index in patients undergoing revision total hip arthroplasty.International orthopaedics · 2015Article
- Investigation of neutrophilic peptides in periprosthetic tissue by matrix-assisted laser desorption ionisation time-of-flight imaging mass spectrometry.International orthopaedics · 2015Article
- Routine one-stage exchange for chronic infection after total hip replacement.International orthopaedics · 2014Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeCurrent concepts in the treatment of prosthetic joint infections include prosthetic retention and exchange strategies according to published recommendations. A useful algorithm should fit for each type of prosthetic joint infection, even the most complicated situations. We present the outcome of 147 patients with prosthetic joint infections of the hip or the knee joint in an unselected population in clinical routine.
methodsBetween November 2006 and November 2009, 147 consecutive patients with prosthetic joint infections of the hip or knee were treated according to an algorithm based on the concept published by Zimmerli et al. in 2004. Causative organism, duration of infection, patient comorbidities, surgical treatment, antibiotic treatment, and outcome of treatment were analysed retrospectively. According to the criteria duration of infection, stability of prosthesis, local and systemic risk factors, and susceptibility of the causative pathogen, patients were treated either with debridement and retention or a long-interval two-stage procedure.
resultsA pathogen could be detected in 82.8% of the patients, gram-positive cocci being most common. Twenty-seven patients were treated with debridement and retention and 120 were treated with a two-stage procedure. In 68 cases difficult-to-treat pathogens could be detected, a polymicrobial infection was found in 51 patients. Definitely free of infection were 71.6% after a two-stage procedure, and 70.4% after debridement and retention.
conclusionsOur data indicates that the applied algorithm is suitable to be applied as a day-to-day routine, and we confirmed that published results from the literature can be reproduced in an inhomogeneous patient cohort.
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