Evidence map›Paper›PMID 39891734›Full record

ArticleArchives of orthopaedic and trauma surgery2025

Reliability and utility of the new Belt et al. classification for revision of infected total knee arthroplasty.

B D Bulzacki Bogucki, V Digennaro, Davide Cecchin, A Panciera, R Ferri, L Benvenuti, B Bordini, C Faldini

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Article in Archives of orthopaedic and trauma surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

B D Bulzacki BoguckiUniversity of Bologna, Via Zamboni 27/29, Bologna, 40126, Italy.
V Digennaro1st Orthopaedic and Traumatologic Clinic, IRCCS Istituto Ortopedico Rizzoli, Via G.C. Pupilli 1, Bologna, 40136, Italy.
Davide Cecchin1st Orthopaedic and Traumatologic Clinic, IRCCS Istituto Ortopedico Rizzoli, Via G.C. Pupilli 1, Bologna, 40136, Italy. davide.cecchin@ior.it.ORCID http://orcid.org/0000-0001-9254-8572
A Panciera1st Orthopaedic and Traumatologic Clinic, IRCCS Istituto Ortopedico Rizzoli, Via G.C. Pupilli 1, Bologna, 40136, Italy.
R Ferri1st Orthopaedic and Traumatologic Clinic, IRCCS Istituto Ortopedico Rizzoli, Via G.C. Pupilli 1, Bologna, 40136, Italy.
L Benvenuti1st Orthopaedic and Traumatologic Clinic, IRCCS Istituto Ortopedico Rizzoli, Via G.C. Pupilli 1, Bologna, 40136, Italy.
B BordiniMedical Technology Laboratory, IRCCS Istituto Ortopedico Rizzoli, Via Pupilli 1, Bologna, 40136, Italy.
C Faldini1st Orthopaedic and Traumatologic Clinic, IRCCS Istituto Ortopedico Rizzoli, Via G.C. Pupilli 1, Bologna, 40136, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe frequency of revisions in total knee arthroplasty (TKA) is rising. Various classifications of bone defects exist, each with its own limitations. Recently, Belt et al. have proposed a new classification for TKA revisions based on X-ray imaging. We evaluated the Belt et al. classification and verified if this new classification is reliable, and if it correlates with the implant used during revision surgery for periprosthetic joint infection.

methodsThis is a retrospective study. We reproduced the paper proposed by Belt et al. with the radiological data of all patients who underwent two stage revision for infected TKA in our institution between January 2017 and December 2022. Five different operators classified the bone defect for each patient at two time points. Subsequently, we assessed intra- and inter-operator reproducibility. We also collect the surgery data from our registry to verify if there is a correlation between augment use and epiphyseal bone defect.

resultsThe classification proposed by Belt is reliable, and have a good reproducibility inter and intraoperator. There is no correlation between the bone defect. And the use of augment, and so this classification is usless in the prediction of the material needed in the operating room.

conclusionThe Belt at al. classification is reliable, but a classification which can predict the implant neded have to be developed.

Indexed as

Arthroplasty, Replacement, KneeKnee ProsthesisProsthesis-Related InfectionsReoperationAgedFemaleHumansMaleMiddle AgedRadiographyReproducibility of ResultsRetrospective StudiesBone defectKneePJIRevision TKATKA

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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.