Evidence map›Paper›PMID 33619607›Full record

ArticleJournal of experimental orthopaedics2021

Diagnosis and management of the infected total knee replacement: a practical surgical guide.

Akos Zahar, Martin Sarungi

Open access · goldAbstract read
In one paragraph

Article in Journal of experimental orthopaedics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
4.8field-weighted citation impact, top 4% 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

14 citing papers in PubMed, 29 citations in OpenAlex.

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  9. Shaping experimental orthopaedics.Journal of experimental orthopaedics · 2023
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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

2 authors at 2 institutions in 2 countries.

Akos ZaharDepartment of Orthopaedic & Trauma Surgery, Helios Klinikum Emil von Behring, Walterhöferstrasse 11, 14165, Berlin, Germany. zahar.akos@gmail.com.ORCID http://orcid.org/0000-0001-8831-4415
Martin SarungiOrthopaedic Department, The Golden Jubilee National Hospital, Glasgow, Scotland, UK.
Golden Jubilee National Hospital · GBHelios Klinikum Emil von Behring · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeProsthetic joint infection (PJI) after total knee arthroplasty (TKA) is a significant burden in health care. Diagnosis and proper management are challenging. A standardised procedure for the diagnostic workup and surgical management provides clear benefits in outcome.

methodsSeveral diagnostic protocols and definitions for PJI were established in recent years. Proper PJI diagnosis remains critical for success and for choosing the optimal treatment option. A distinct workup of diagnostic steps, the evaluation of the results in a multidisciplinary setup and the meticulous surgical management of the infection are the key factors of successful treatment.

resultsThe management of PJI after TKA consists of early revision with debridement and implant retention (DAIR) in early cases or staged revision in late infections beyond 30 days postoperative or after onset of acute symptoms. The revision is performed as a two-stage procedure with the use of a fixed or mobile antibiotic spacer, or in selected cases as a single-stage operation with the use of local and systemic antibiotic treatment.

conclusionsThis paper reflects the opinion of two revision surgeons who follow the same protocol for diagnosis and treatment of PJI after TKA, highlighting the key steps in diagnosis and management. LEVEL OF EVIDENCE: Expert's opinion.

Indexed as

Diagnostic protocolOne-stage septic exchangeProsthetic joint infection (PJI)Surgical treatmentTotal knee arthroplasty (TKA)Two-stage revision

Identifiers

PMID33619607
PMCPMC7900357
OpenAlexW3130685159

What OpenQuestion holds

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LicenceCC BY
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.