Evidence map›Paper›PMID 26296510›Full record

ReviewDer Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen2015

[Complication management of infected osteosynthesis: Therapy algorithm for peri-implant infections].

C Kleber, K D Schaser, A Trampuz

Abstract readEnglish AbstractReview
PubMed Publisher
In one paragraph

Review in Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen, 2015. 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
3.8field-weighted citation impact, top 7% 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.

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, 27 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Observational
  4. Article
  5. [Management of suspected early infection after osteosynthesis].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2021
    Article
  6. Article
  7. Article
  8. Review
  9. Review
  10. Review
  11. [Implant-associated infections - Diagnostics].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2016
    Review
  12. [Infected osteosynthesis].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2016
    Review
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

3 authors at 2 institutions in 1 country.

C KleberCentrum für septische Chirurgie am Centrum für Muskuloskeletale Chirurgie, Charité - Universitätsmedizin, Augustenburger Platz 1, 13353, Berlin, Deutschland. christian.kleber@charite.de.
K D SchaserUniversitätsCentrum für Orthopädie und Unfallchirurgie, Universitätsklinikum Carl Gustav Carus, Dresden, Deutschland.
A TrampuzCentrum für septische Chirurgie am Centrum für Muskuloskeletale Chirurgie, Charité - Universitätsmedizin, Augustenburger Platz 1, 13353, Berlin, Deutschland.
Charité - Universitätsmedizin Berlin · DEUniversity Hospital Carl Gustav Carus · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPeri-implant infections (PII) are one of the most frequent postoperative complications and require an individualized combined surgical and antibiotic management. In this review article we provide up to date scientific knowledge regarding the pathogenesis, classification, diagnosis and therapy of PII. The aim of this article is to explain the rational background and evidence of individual treatment options in order to elaborate concrete management recommendations. MATERIAL AND

methodsThe relevant scientific publications were critically reviewed for diagnostics, therapy and prevention of PII. Based on these data we present a combined surgical and antibiotic treatment algorithm for PII.

resultsWith a consistent interdisciplinary action high healing rates with eradication of PII can be achieved. In acute PII (< 6 weeks) the implant can normally be retained but this is dependent on the soft tissue conditions, while in chronic PII (> 6 weeks) the implant generally has to be removed in a one or two step exchange, depending on the soft tissue, bone defects and pathogen.

conclusionScientific knowledge and clinical data have led to new treatment algorithms for PII with improved outcome, decreased morbidity and shortened hospitalization. Systemic individualized antimicrobial therapy, radical septic and plastic surgery are the cornerstones for successful treatment of acute and chronic PII. The local use of antibiotics and application of bone substitute materials are other techniques for treatment but the exact importance must still be determined.

Indexed as

AlgorithmsAnti-Bacterial AgentsCombined Modality TherapyCooperative BehaviorFracture Fixation, InternalHumansInterdisciplinary CommunicationPostoperative ComplicationsProstheses and ImplantsReoperationSurgical Wound InfectionAnti-Bacterial AgentsAntimicrobial therapyComplicationImplantInfectionOsteosynthesisSeptic surgery

Identifiers

PMID26296510
OpenAlexW1196725290

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.