Evidence map›Paper›PMID 40025345›Full record

ArticleArchives of orthopaedic and trauma surgery2025

Impact of septic arthritis on quality of life: arthroscopy vs. arthrotomy.

Nike Walter, Lorenz Huber, Melanie Schindler, Josina Straub, Dominik Szymski, Volker Alt, Markus Rupp

Abstract readComparative Study
In one paragraph

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. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. [Acute diagnostics-focus on septic arthritis].Zeitschrift fur Rheumatologie · 2026
    Review
  2. Primary septic arthritis in the elderly - a forgotten killer? Five-year survival and risk factors in a retrospective cohort study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026
    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

7 authors.

Nike WalterDepartment for Trauma Surgery, University Hospital Regensburg, 93053, Regensburg, Germany.
Lorenz HuberDepartment for Trauma Surgery, University Hospital Regensburg, 93053, Regensburg, Germany.
Melanie SchindlerDivision of Orthopaedics and Traumatology, University Hospital Krems, 3500, Mitterweg 10, Austria.
Josina StraubDepartment for Trauma Surgery, University Hospital Regensburg, 93053, Regensburg, Germany.
Dominik SzymskiDepartment for Trauma Surgery, University Hospital Regensburg, 93053, Regensburg, Germany.
Volker AltDepartment for Trauma Surgery, University Hospital Regensburg, 93053, Regensburg, Germany.
Markus RuppDepartment for Trauma Surgery, University Hospital Regensburg, 93053, Regensburg, Germany. markus.rupp@ukr.de.ORCID http://orcid.org/0000-0001-7221-3783

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSeptic arthritis poses significant challenges due to its potential for joint damage and life-threatening complications. The choice between arthroscopy and open arthrotomy as surgical approaches remains a critical decision in septic arthritis management. However, limited research has focused on patient-reported outcomes and quality of life following treatment. MATERIALS AND

methodsA retrospective study was conducted at a German level 1 trauma center, including 58 adult septic arthritis patients treated with arthroscopy (n = 29) or open arthrotomy (n = 29). Quality of life was assessed using the EQ-5D instrument. Functional mobility was evaluated with the Parker Mobility Score, while the Katz Score assessed activities of daily living (ADL). The mean follow-up time was 5.6 years.

resultsComparable EQ-5D VAS scores were observed in both groups, with no significant difference in the quality of life between arthroscopy and open arthrotomy patients (64.8 ± 19.3 vs. 64.7 ± 19.6, p = 0.749). Notably, both groups reported limitations in pain/discomfort and mobility, while the open arthrotomy group exhibited more anxiety/depression limitations (p = 0.024). Functional mobility, as assessed by the Parker Mobility Score (6.50 ± 2.62 vs. 6.51 ± 2.60, p = 0.617), and ADL independence, using the Katz Score (5.06 ± 1.72 vs. 5.05 ± 1.71, p = 0.181) remained similar between the two groups.

conclusionIn septic arthritis management, arthroscopy and open arthrotomy yield similar long-term QoL outcomes, functional mobility, and ADL independence. Despite these findings, it is crucial to interpret the results with caution, given potential limitations associated with retrospective studies, and external factors influencing long-term outcomes. Further prospective research, incorporating larger sample sizes and extended follow-up, is necessary to refine our understanding of septic arthritis management strategies and their impact on patient well-being. LEVEL OF EVIDENCE: III.

Indexed as

Arthritis, InfectiousArthroscopyQuality of LifeActivities of Daily LivingAdultAgedFemaleHumansMaleMiddle AgedRetrospective StudiesArthroscopyArthrotomyPatient-reported outcome measuresQuality of lifeSeptic arthritis

Identifiers

PMID40025345
PMCPMC11872757

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Registered trials

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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.