Evidence map›Paper›PMID 24052163›Full record

ArticleInternational orthopaedics2013

Remission rate of implant-related infections following revision surgery after fractures.

Mohamed Al-Mayahi, Michael Betz, Daniel A Müller, Richard Stern, Phedon Tahintzi, Louis Bernard, Pierre Hoffmeyer, Domizio Suvà, Ilker Uçkay

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in International orthopaedics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03602209 (Short vs. Long Antibiotic Treatment of Implant-free Osteoarticular Infections), which is not on this map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
2.3field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03602209 nacompletednot on this mapstarted 2015, after this paper: background citation

Short vs. Long Antibiotic Treatment of Implant-free Osteoarticular Infections

TypeinterventionalSponsorUniversity Hospital, GenevaRan2015 to 2018Enrolled120ConditionsImplant InfectionArmsRemoval of infected implant, Antibiotic durations
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 54 citations in OpenAlex.

  1. Article
  2. Article
  3. Analyzing risk factors for treatment failure in fracture-related infection.Archives of orthopaedic and trauma surgery · 2023
    Article
  4. Article
  5. Epidemiology and outcomes of bone and joint infections in solid organ transplant recipients.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2022
    Article
  6. Review
  7. Article
  8. Osteoarticular infections: a specific program for older patients?Aging clinical and experimental research · 2021
    Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Clinical and epidemiological differences between implant-associated and implant-free orthopaedic infections.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2017
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 3 countries.

Mohamed Al-MayahiOrthopaedic Surgery Service, Geneva University Hospitals & Medical School, University of Geneva, Geneva, Switzerland.
Michael Betz
Daniel A Müller
Richard Stern
Phedon Tahintzi
Louis Bernard
Pierre Hoffmeyer
Domizio Suvà
Ilker Uçkay
University of Geneva · CHCentre Hospitalier Universitaire de Tours · FRUniversity Hospital of Geneva · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIn contrast to a large amount of epidemiological data regarding the incidence of implant infections after fracture management, surprisingly few have been published concerning the success of their treatment.

methodsThis was a single-centre cohort study at Geneva University Hospitals from 2000 to 2012 investigating the remission rates of orthopaedic implant infections after fracture repair and associated variables.

resultsA total of 139 episodes were included: There were 51 women (37%) and 28 immunosuppressed (20%) patients with a median age and American Society of Anaesthesiologists (ASA) score of 51 years and 2 points, respectively. The infected implants were plates (n = 75, 54 %), nails (24, 17%), wires (20), screws (10), cerclage cables or wires (3), hip screws (4) or material for spondylodesis (3). A pathogen was identified in 135 (97%) cases, including Staphylococcus aureus (73, 52%), coagulase-negative staphylococci (20), streptococci (7) and 19 Gram-negative rods. All patients underwent antibiotic treatment, and 128 (92%) remained in remission at a median follow-up time of 2.6 years (range one to 13 years). In multivariate logistic regression analysis, the plate infections were significantly associated with lower remission rates [65/75, 87%, odds ratio (OR) 0.1, 95% confidence interval (CI) 0.01-0.90]. No associations were found for gender, age, immune status, ASA score, additional surgical interventions (OR 0.4, 95% CI 0.1-4.1) or duration of antibiotic treatment (OR 1.0, 95% CI 0.98-1.01).

conclusionsAmong all infected and removed orthopaedic implants, plates were associated with slightly lower remission rates, while the overall treatment success exceeded 90%. The duration of antibiotic therapy did not alter the outcome.

Indexed as

AdultAgedAnti-Bacterial AgentsBacterial InfectionsBone NailsBone PlatesBone ScrewsBone WiresCohort StudiesFemaleFollow-Up StudiesFracture Fixation, InternalFractures, BoneHumansIncidenceInternal FixatorsAnti-Bacterial Agents

Identifiers

PMID24052163
PMCPMC3824899
OpenAlexW2125820939

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.