Evidence map›Paper›PMID 25078367›Full record

ArticleInternational orthopaedics2014

Routine one-stage exchange for chronic infection after total hip replacement.

Jean-Yves Jenny, Régis Lengert, Yann Diesinger, Jeannot Gaudias, Cyril Boeri, Jean-François Kempf

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In one paragraph

Article in International orthopaedics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Review
  9. The Role of One-Stage Exchange for Prosthetic Joint Infection.Current reviews in musculoskeletal medicine · 2018
    Review
  10. Article
  11. [Treatment of periprosthetic infections].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2016
    Review
  12. 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

6 authors.

Jean-Yves JennyCentre for Orthopaedic and Hand Surgery, University Hospital Strasbourg, 10 avenue Baumann, 67400, Illkirch, France, jean-yves.jenny@chru-strasbourg.fr.
Régis Lengert
Yann Diesinger
Jeannot Gaudias
Cyril Boeri
Jean-François Kempf

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWe hypothesized that a routine one-stage exchange for treatment of chronically infected total hip replacement (THR) will lead to (1) a higher rate of infection recurrence and (2) a poorer hip outcome than the published rates after two-stage exchange.

methodsSixty-five cases have been treated consecutively with one-stage exchange. All patients have been followed for a period of three to six years or until death or infection recurrence.

resultsThe five-year rate for infection recurrence was 16%. The five-year survival rate for recurrence of the index infection was 8%. Forty-two percent of the hips had a good or excellent PMA score, and 46% a good or excellent OH score.

conclusionsRoutine one-stage exchange was not associated with a higher recurrence rate and a poorer hip function than previously published series of two-stage exchange. Therefore, there is little support to choose two-stage exchange as the routine treatment for management of chronically infected THR.

Indexed as

AdultAgedAged, 80 and overAnti-Bacterial AgentsArthroplasty, Replacement, HipChronic DiseaseFemaleFollow-Up StudiesHip JointHip ProsthesisHumansMaleMiddle AgedProsthesis-Related InfectionsRecurrenceRetrospective StudiesAnti-Bacterial Agents

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.