Evidence map›Paper›PMID 35616598›Full record

ArticleSICOT-J2022

Staged revision still works for chronic and deep infection of total elbow arthroplasty?

Jae-Man Kwak, Sang-Pil So, In-Ho Jeon

Abstract read
In one paragraph

Article in SICOT-J, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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

6 citing papers in PubMed.

  1. Article
  2. Hip Fracture Risk Following Lumbar Fusion: A Retrospective Cohort Study of Construct Length and Age-Stratified Outcomes.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026
    Article
  3. Review
  4. Review
  5. Elbow Arthroplasty: A Concise Literature Update.The archives of bone and joint surgery · 2023
    Article
  6. 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

3 authors.

Jae-Man KwakDepartment of Orthopedic Surgery, Uijeongbu Eulji Medical Center, College of Medicine, Eulji University, Uijeongbu 11759, South Korea.ORCID 0000-0002-4395-8345
Sang-Pil SoDepartment of Orthopedic Surgery, Asan Medical Center, College of Medicine, Ulsan University, Seoul 05505, South Korea.ORCID 0000-0002-8332-2691
In-Ho JeonDepartment of Orthopedic Surgery, Asan Medical Center, College of Medicine, Ulsan University, Seoul 05505, South Korea.ORCID 0000-0002-9289-9193

Funding

EMBRI grant from Eulji university 2022-0026
6 · The paper itself

Abstract

purposeInfected total elbow arthroplasty (TEA) is challenging. We evaluate the clinical and radiologic outcomes for chronic and deep infection of TEA with two-stage revision surgery.

methodsA total of 10 elbows were included in the study. The mean age was 69.1 ± 15 years (range, 34-83 years). The mean follow-up was 62 (range, 24-108) months. The clinical outcomes were assessed using a visual analog scale (VAS), range of motion (ROM) arc, and Mayo elbow performance score (MEPS). Moreover, radiographic outcomes, time to revision, pathogenic bacteria, preoperative complications, and disease period were evaluated.

resultsMean preoperative VAS score of 6.1 had improved to 3.3. Mean preoperative ROM was 68° (flexion-extension), which improved to 86.7°. Mean preoperative MEPS was 46 (range, 0-70), which improved to 75.5 (range, 35-85). The mean disease duration was 8.4 months (range, 5-20 months). The most common causative organism was methicillin-resistant Staphylococcus aureus. The second revision rate was 80% at the final follow-up. Radiographic outcome at final follow-up showed that 3 (30%) of 10 patients exhibited radiolucency evidence around the components. Three patients showed nonprogressive radiolucency around the implant interfaces without other indications of infection at the most recent follow-up.

conclusionIn patients with chronic and deep infection of TEA, two-stage revision can be an affordable option for eradication of the infection, relieving pain, and restoring joint function. However, the high second revision rate owing to bone and soft-tissue deficits remains a critical issue. LEVEL OF EVIDENCE: Level IV, Case series, Treatment study.

Indexed as

InfectionRevisionStaged surgeryTotal elbow arthroplastyTotal elbow replacement

Identifiers

PMID35616598
PMCPMC9135019

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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.