Evidence map›Paper›PMID 37032343›Full record

ReviewArthroplasty (London, England)2023

Articulating spacers: what are available and how to utilize them?

Zhuo Li, Chi Xu, Jiying Chen

Abstract readReview
In one paragraph

Review in Arthroplasty (London, England), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

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

  1. Pooled it
  2. Conversion total hip arthroplasty following failed proximal femoral fixation: current concepts review.Hip international : the journal of clinical and experimental research on hip pathology and therapy · 2026
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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

3 authors.

Zhuo LiSchool of Medicine, Nankai University, Tianjin, 300071, China.
Chi XuDepartment of Orthopedics, The First Medical Center, Chinese PLA General Hospital, Beijing, 100853, China.
Jiying ChenDepartment of Orthopedics, The First Medical Center, Chinese PLA General Hospital, Beijing, 100853, China. chenjiying_301@163.com.ORCID http://orcid.org/0000-0001-8166-4658

Funding

Military Medical Science and Technology Youth Training Project 21QNPY110National Key Research and Development Program of China 2020YFC2004900Natural Science Foundation of China 82002323Natural Science Foundation of China 82102585
6 · The paper itself

Abstract

Periprosthetic joint infection (PJI) is the most devastating complication following total joint arthroplasty (TJA) and is posing a global healthcare challenge as the demand for TJA mounts. Two-stage exchange arthroplasty with the placement of antibiotic-loaded spacers has been shown to be efficacious against chronic PJI. This study aimed to review the key concepts, types, and outcome evaluations of articulating spacers in the two-stage exchange for PJI. Previous studies indicated that articulating spacers have been widely used due to better functional improvement and a comparable infection control rate relative to static spacers. Several types of articulating spacers are reportedly available, including hand-made spacers, spacers fashioned from molds, commercially preformed spacers, spacers with additional metal or polyethylene elements, new or autoclaved prosthesis, custom-made articulating spacers, and 3D printing-assisted spacers. However, limited evidence suggested no significant difference in clinical outcomes among the different subtypes of articulating spacers. Surgeons should be familiar with different treatment strategies when using various spacers to know which is the most appropriate.

Indexed as

ArthroplastyArticulating spacerOutcomesPeriprosthetic joint infection

Identifiers

PMID37032343
PMCPMC10084623

What OpenQuestion holds

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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.