Evidence map›Paper›PMID 37568428›Full record

ReviewJournal of clinical medicine2023

Debridement, Antibiotics and Implant Retention: A Systematic Review of Strategies for Treatment of Early Infections after Revision Total Knee Arthroplasty.

Caspar W J Hulleman, Tommy S de Windt, Karin Veerman, Jon H M Goosen, Frank-Christiaan B M Wagenaar, Gijs G van Hellemondt

Abstract readReview
In one paragraph

Review in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

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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

6 authors.

Caspar W J HullemanSint Maartenskliniek, Orthopedic Surgery, 6574 NA Nijmegen, The Netherlands.ORCID 0009-0007-1979-0910
Tommy S de WindtOrthopedisch Centrum Oost Nederland, Orthopedic Center, 7555 DL Hengelo, The Netherlands.
Karin VeermanSint Maartenskliniek, Orthopedic Surgery, 6574 NA Nijmegen, The Netherlands.
Jon H M GoosenSint Maartenskliniek, Orthopedic Surgery, 6574 NA Nijmegen, The Netherlands.
Frank-Christiaan B M WagenaarOrthopedisch Centrum Oost Nederland, Orthopedic Center, 7555 DL Hengelo, The Netherlands.
Gijs G van HellemondtSint Maartenskliniek, Orthopedic Surgery, 6574 NA Nijmegen, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

goalThe purpose of this review is to provide a systematic and comprehensive overview of the available literature on the treatment of an early prosthetic joint infection (PJI) after revision total knee arthroplasty (TKA) and provide treatment guidelines.

methodsThis systematic review was performed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. The search was conducted using the electronic databases of PubMed, Trip, Cochrane, Embase, LILACS and SciElo. After the inclusion of the relevant articles, we extracted the data and results to compose a treatment algorithm for early and acute PJI after revision TKA.

resultsAfter applying the in- and exclusion criteria, seven articles were included in this systematic review focusing on debridement, antibiotics and implant retention (DAIR) for PJI following revision TKA, of which one was prospective and six were retrospective. All studies were qualified as level IV evidence.

conclusionsThe current literature suggests that DAIR is a valid treatment option for early infections after revision TKA with success rates of 50-70%. Repeat DAIR shows success rates of around 50%. Further research should be aimed at predicting successful (repeat/two-stage) DAIRs in larger study populations, antibiotic regimes and the cost effectiveness of a second DAIR after revision TKA.

Indexed as

antibiotics and implant retentiondebridementperiprosthetic joint infectionrevision knee arthroplasty

Identifiers

PMID37568428
PMCPMC10419891

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.