Evidence map›Paper›PMID 28657570›Full record

ArticleActa bio-medica : Atenei Parmensis2017

Two-stage revision after total knee arthroplasty.

Paolo Di Benedetto, Enrico Daniele Di Benedetto, Michele Mario Buttironi, D De Franceschi, Alessandro Beltrame, Renato Gissoni, Vanni Cainero, Araldo Causero

Open access · greenAbstract read
In one paragraph

Article in Acta bio-medica : Atenei Parmensis, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.2field-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.

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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Prevalence, interpretation, and management of unexpected positive cultures in revision TKA: a systematic review.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Antibacterial hydrogel coating in joint mega-prosthesis: results of a comparative series.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2021
    Article
  6. Article
  7. Article
  8. Article
  9. Observational
  10. Higher failure rate of two-stage revision for infected knee arthroplasties in significantly compromised (host-C) patients.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2019
    Article
  11. 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

8 authors at 1 institution in 1 country.

Paolo Di Benedetto. paolo.dibenedetto@asuiud.sanita.fvg.it.
Enrico Daniele Di Benedetto
Michele Mario Buttironi
D De Franceschi
Alessandro Beltrame
Renato Gissoni
Vanni Cainero
Araldo Causero
Ospedale San Paolo · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and aim of the workPeriprosthetic knee infection is a complication associated with prosthetic failure; incidence change from 0,4-2% of primary total knee replacement and 5,6% in revisions; incidence is increasing over the years. Two-stage revision is the technique used in chronic infection. Aim of the work is to check success rate in our data. Methods. We analyzed retrospectively data of patients who undergone two stage revision surgery between 01/01/2010 to 31/12/2015. We made a clinical and radiological control after 1, 3, 6, 12, 24 months and we evaluate the outcome in December 2016. Results. Between 2010 and 2015 we treated 45 patients with two-stage revision. Mean follow-up was 3,4 years. Success rate is 89,9%. We had failure in 5 patients: everyone had knee surgery before first knee arthroplasty and Charlson Comorbidity Score was greater then 4 in 4 cases. Conclusions. Two stage revision can be considered a successful treatment in chronic periprosthetic knee infection. It has an optimal success rate, but it has some disadvantages as joint stiffness and pain in the interval between stages. This is a technique with two major surgery procedure with associated morbidity, discomfort, cost and prolonged stay in hospital.

Indexed as

AgedAnti-Bacterial AgentsArthroplasty, Replacement, KneeChronic DiseaseFemaleHumansKnee ProsthesisMaleProsthesis FailureProsthesis-Related InfectionsReoperationRetrospective StudiesAnti-Bacterial Agentsknee, periprostethic, infection, two-stage, revision

Identifiers

PMID28657570
PMCPMC6178994
OpenAlexW2733320171

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.