Evidence map›Paper›PMID 37173423›Full record

ReviewOperative Orthopadie und Traumatologie2023

Handmade articulating spacer for two-stage exchange at the knee.

Martin Lüdemann, Sebastian von Hertzberg-Bölch, Anna Gurok, Jan Oberfeld, Maximilian Rudert

Abstract readReview
PubMed Publisher
In one paragraph

Review in Operative Orthopadie und Traumatologie, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 42% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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 at 1 institution in 1 country.

Martin LüdemannOrthopädische Klinik König-Ludwig-Haus, Lehrstuhl für Orthopädie, Universität Würzburg, Brettreichstr. 11, 97074, Würzburg, Germany. m-luedemann.klh@uni-wuerzburg.de.
Sebastian von Hertzberg-BölchOrthopädische Klinik König-Ludwig-Haus, Lehrstuhl für Orthopädie, Universität Würzburg, Brettreichstr. 11, 97074, Würzburg, Germany.
Anna GurokOrthopädische Klinik König-Ludwig-Haus, Lehrstuhl für Orthopädie, Universität Würzburg, Brettreichstr. 11, 97074, Würzburg, Germany.
Jan OberfeldOrthopädische Klinik König-Ludwig-Haus, Lehrstuhl für Orthopädie, Universität Würzburg, Brettreichstr. 11, 97074, Würzburg, Germany.
Maximilian RudertOrthopädische Klinik König-Ludwig-Haus, Lehrstuhl für Orthopädie, Universität Würzburg, Brettreichstr. 11, 97074, Würzburg, Germany.
Klinik König-Ludwig Haus · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTwo-stage exchange with implantation of a temporary spacer is considered gold standard treatment for chronic periprosthetic joint infection of the knee. This article describes a simple and safe technique for handmade articulating spacers at the knee. INDICATION: Chronic or relapsing periprosthetic joint infection of the knee. RELATIVE CONTRAINDICATIONS: Known allergy against components of polymethylmethacrylate (PMMA) bone cements or admixed antibiotics. Inadequate compliance for two-stage exchange. Patient not able to undergo two-stage exchange. Bony defect situation at the tibia or femur leading to collateral ligament insufficiency. Soft tissue damage with need for plastic temporary vacuum-assisted wound closure (VAC) therapy. SURGICAL TECHNIQUE: Removal of the prosthesis, thorough debridement of necrotic and granulation tissue, tailoring bone cement with antibiotics. Preparation of a tibial and femoral stem. Customizing the tibial and femoral articulating spacer components to bony anatomy and soft tissue tension. Confirmation of correct position by intraoperative radiography. POSTOPERATIVE MANAGEMENT: Protection of the spacer with an external brace. Restricted weight-bearing. Passive range of motion as possible. Intravenous-followed by oral antibiotics. Reimplantation after successful treatment of infection.

Indexed as

Arthritis, InfectiousArthroplasty, Replacement, KneeKnee ProsthesisProsthesis-Related InfectionsAnti-Bacterial AgentsBone CementsHumansKnee JointRange of Motion, ArticularReoperationTreatment OutcomeAnti-Bacterial AgentsBone CementsAdmixed antibioticsPeriprosthetic joint infection of the kneePolymethylmethacrylate bone cementsReoperationTwo-stage revision arthroplasty

Identifiers

PMID37173423
OpenAlexW4376270797

What OpenQuestion holds

Textmetadata
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.