Evidence map›Paper›PMID 35109666›Full record

ArticleBone & joint open2022

Results of 'two-in-one' single-stage revision total knee arthroplasty for infection with associated bone loss : prospective five-year follow up.

Andrew C C Brunt, Matthew Gillespie, George Holland, Ivan Brenkel, Phil Walmsley

Abstract read
In one paragraph

Article in Bone & joint open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. 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

5 authors.

Andrew C C BruntDepartment of Orthpaedic Surgery, Victoria Hospital Kirkcaldy, Kirkcaldy, UK.
Matthew GillespieDepartment of Orthpaedic Surgery, Victoria Hospital Kirkcaldy, Kirkcaldy, UK.
George HollandDepartment of Orthpaedic Surgery, Victoria Hospital Kirkcaldy, Kirkcaldy, UK.
Ivan BrenkelDepartment of Orthpaedic Surgery, Victoria Hospital Kirkcaldy, Kirkcaldy, UK.
Phil WalmsleyDepartment of Orthpaedic Surgery, Victoria Hospital Kirkcaldy, Kirkcaldy, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsPeriprosthetic joint infection (PJI) occurs in approximately 1% to 2% of total knee arthroplasties (TKA) presenting multiple challenges, such as difficulty in diagnosis, technical complexity, and financial costs. Two-stage exchange is the gold standard for treating PJI but emerging evidence suggests 'two-in-one' single-stage revision as an alternative, delivering comparable outcomes, reduced morbidity, and cost-effectiveness. This study investigates five-year results of modified single-stage revision for treatment of PJI following TKA with bone loss.

methodsPatients were identified from prospective data on all TKA patients with PJI following the primary procedure. Inclusion criteria were: revision for PJI with bone loss requiring reconstruction, and a minimum five years' follow-up. Patients were followed up for recurrent infection and assessment of function. Tools used to assess function were Oxford Knee Score (OKS) and American Knee Society Score (AKSS).

resultsA total of 24 patients were included with a mean age of 72.7 years (SD 7.6), mean BMI of 33.3 kg/m

conclusion'Two-in-one' single-stage revision is effective for treating PJI following TKA with bone loss, providing patients with sustained improvements in outcomes and infection clearance up to five years post-procedure. Cite this article:

Indexed as

American Knee Society scoresantibioticsArthroplastyBone lossdebridement, antibiotics, and implant retentionInfectionJoint InfectionKneeOxford Knee Scoresrecurrent infectionRevisionrevision total knee arthroplasty (TKA)total knee arthroplasties (TKA)

Identifiers

PMID35109666
PMCPMC8886320

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Registered trials

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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.