ArticleInternational orthopaedics2019
Functional outcome of two-stage reimplantation in patients with periprosthetic joint infection after primary total knee arthroplasty.
Article in International orthopaedics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.
- Prosthesis design of animal models of periprosthetic joint infection following total knee arthroplasty: A systematic review.PloS one · 2019Pooled it
- Functional and quality-of-life outcomes after metal-on-polyethylene articulating spacer implantation for periprosthetic knee infection: a retrospective evaluation of a prospectively collected cohort.Archives of orthopaedic and trauma surgery · 2026Observational
- [Low UKA implantation volume, comorbidities, male sex, and implantation of constrained TKA are risk factors for septic revision after knee arthroplasty implantation : A register-based study from the German Arthroplasty Register].Orthopadie (Heidelberg, Germany) · 2024Article
- The Effect of Spacer Treatment of Infected Hip and Knee Arthroplasties on Patients' Mental Health: A Narrative Review of the Literature.Healthcare (Basel, Switzerland) · 2024Review
- Indications and techniques for non-articulating spacers in massive bone loss following prosthetic knee joint infection: a scoping review.Archives of orthopaedic and trauma surgery · 2023Article
- Are Static Spacers Superior to Articulated Spacers in the Staged Treatment of Infected Primary Knee Arthroplasty? A Systematic Review and Meta-Analysis.Journal of clinical medicine · 2022Review
- Static vs Articulating Spacers for Two-Stage Revision Total Knee Arthroplasty: Minimum Five-Year Review.Arthroplasty today · 2022Article
- Treatment of Periprosthetic Joint Infection and Fracture-Related Infection With a Temporary Arthrodesis Made by PMMA-Coated Intramedullary Nails - Evaluation of Technique and Quality of Life in Implant-Free Interval.Frontiers in surgery · 2022Article
- Severe polymicrobial and fungal periprosthetic osteomyelitis persisting after hip disarticulations treated with caspofungin in risk patients: a case series.Annals of clinical microbiology and antimicrobials · 2021Article
- Management strategies for prosthetic joint infection: long-term infection control rates, overall survival rates, functional and quality of life outcomes.EFORT open reviews · 2021Review
- Customized intraoperatively molded articulating cement spacers for two-stage revisions TKA with major bone defects.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2021Article
- Periprosthetic Fungal Infections in Severe Endoprosthetic Infections of the Hip and Knee Joint-A Retrospective Analysis of a Certified Arthroplasty Centre of Excellence.Journal of fungi (Basel, Switzerland) · 2021Article
- Functional recovery after two-stage short-interval revision of chronic periprosthetic knee joint infection.International orthopaedics · 2021Article
- Long-Term Patient-Related Quality of Life after Knee Periprosthetic Joint Infection.Journal of clinical medicine · 2021Article
- Application of 3D Printing-Assisted Articulating Spacer in Two-Stage Revision Surgery for Periprosthetic Infection after Total Knee Arthroplasty: A Retrospective Observational Study.BioMed research international · 2021Observational
- Balanced, Stemmed, and Augmented Articulating Total Knee Spacer Technique.Arthroplasty today · 2020Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionTwo-stage reimplantation in patients with chronic periprosthetic joint infection (PJI) after total knee arthroplasty (TKA) with the use of either articulating or static antibiotic-loaded spacers during the first step is considered to be the golden standard in orthopaedics. THE AIM OF THE STUDY: The aim of the study was to evaluate the correlation of spacer type with the infection elimination rate as well as functional outcomes after two-staged revision TKA in patients with PJI. MATERIALS AND
methodsThe cohort comprised 161 patients who were treated for PJI after TKA during a period from January 2007 to December 2015. After the exclusion of patients with severe bone defects (AORI 2B or 3), 104 were left for the analysis: 72 patients with articulating and 32 with static spacers. The overall patient mean age was 62 years old (95% CI, 30-84): 73 for females, 31 for males. The outcomes were evaluated after three, six and 12 months using the American Knee Society Score (KSS) and EQ-5D. Only 92 patients were available for observation: 25 with static and 67 with articulating spacers.
resultsOne year after the surgery, patients with articulating spacers demonstrated significantly higher mean KSS and function scores in comparison to patients with static spacers (90.4, 77.3 and 78.5, 67.8, respectively (p < 0.05)). The range of motion was also significantly better in patients with articulating spacers: 104.9° in comparison to 93.9° (р < 0.0001). The final EQ-5D score was comparable in both groups (0.82, 73.1 in articulating and 0.82, 72.6 in static spacers).
conclusionThe two-stage revision TKA for PJI using articulating spacers in comparison to the static ones provides better infection eradication rate as well as functional outcomes and improved quality of life.
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