ArticleDer Orthopade2021
[Diagnosis of periprosthetic joint infection : Development of an evidence-based algorithm by the work group of implant-associated infection of the AE-(German Society for Arthroplasty)].
Article in Der Orthopade, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- [Infections during joint replacement under immunomodulatory treatment].Zeitschrift fur Rheumatologie · 2025Review
- Article
- [Arthroplasty and oral health-an overview].Orthopadie (Heidelberg, Germany) · 2024Review
- Diagnostics in Late Periprosthetic Infections-Challenges and Solutions.Antibiotics (Basel, Switzerland) · 2024Review
- [Structured approach for infected prosthesis].Zeitschrift fur Rheumatologie · 2023Review
- Rescuing Infected Deep Brain Stimulation Therapies in Severely Affected Patients.Brain sciences · 2023Article
- Oral Health Screening for Risk Reduction for Early Periprosthetic Joint Infections of Hip and Knee Endoprostheses-Results of a Prospective Cohort Study.Journal of clinical medicine · 2023Article
- [Strategies for stem revision : Surgery planning, implant removal and reimplantation].Orthopadie (Heidelberg, Germany) · 2023Review
- Synovial fluid pH is as specific as synovial leukocyte count but less sensitive for the diagnosis of chronic prosthetic joint infection.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2022Article
- [Implementation of a standardized clinical test kit for diagnostics of periprosthetic infections in the clinical routine. German version].Der Unfallchirurg · 2022Article
- Article
- Implementation of a standardized clinical test kit for diagnostics of periprosthetic infections in the clinical routine.Der Unfallchirurg · 2021Article
- Evaluation of the standard procedure for treatment of periprosthetic joint infections of total knee and hip arthroplasty: a comparison of the 2015 and 2020 census in total joint replacement centres in Germany.BMC musculoskeletal disorders · 2021Article
- Diagnosis and management of the infected total knee replacement: a practical surgical guide.Journal of experimental orthopaedics · 2021Article
- Diagnosis of Chronic Infection at Total Hip Arthroplasty Revision Is a Question of Definition.BioMed research international · 2021Article
- Comparing the Diagnostic Value of Serum D-Dimer to CRP and IL-6 in the Diagnosis of Chronic Prosthetic Joint Infection.Journal of clinical medicine · 2020Article
- Diagnostic algorithm in septic total knee arthroplasty failure - What is evidence-based?Journal of orthopaedicsArticle
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundProsthetic joint infections (PPI) will challenge orthopaedic surgeons and the health care system in the coming years. Evidence-based and reliable preoperative diagnostics are necessary for success in the field of revision arthroplasty. Especially the preoperative detection of PPI is important with respect to the treatment strategy.
aimThe aim of this study was to develop a detailed and structured standard operating procedure (SOP) to detect PPI preoperatively.
methodsA systematic literature research was performed and relevant articles identified. After extracting the data, statistical calculations of sensitivity, specificity, positive/negative predictive value and positive/negative likelihood ratio were performed. The results were discussed and evaluated in four meetings analogously to standard Delphi rounds by the workgroup of implant-associated infections of the German AE (Arbeitsgemeinschaft Endoprothetik). An algorithm for the diagnostic approach according to ISO 5807 was made.
resultsThe standardized algorithm combines a sequence of evidence-based procedures with detailed and structured main and additional criteria to every critical step in the diagnostic approach.
conclusionThe detection of PPI is of tremendous importance prior to revision arthroplasty and determines its success or failure. The diagnosis "prosthetic joint infection" requires a substantial change with respect to treatment concepts. The algorithm summarizes current literature and specialized expert opinions in a modern standardized format for a transparent diagnostic approach.
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