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Evaluation of the standard procedure for treatment of periprosthetic joint infections of total knee and hip arthroplasty: a comparison of the 2015 and 2020 census in total joint replacement centres in Germany by Katrin Osmanski-Zenk; Annett Klinder; Christina Rimke; Dieter C. Wirtz; Christoph H. Lohmann; Holger Haas; Bernd Kladny; Wolfram Mittelmeier is a Medicine article available to read on EtoBox.
What is Evaluation of the standard procedure for treatment of periprosthetic joint infections of total knee and hip arthroplasty: a comparison of the 2015 and 2020 census in total joint replacement centres in Germany about?
Abstract Background There are different procedures for both, the diagnosis and the therapy of a periprosthetic joint infection (PJI), however, national or international guidelines for a standardised treatment regime are still lacking. The present paper evaluates the use of the predominant treatment protocols for PJI in certified total joint replacement centres (EPZ) in Germany based on an EndoCert questionnaire. Materials and methods The questionnaire was developed in cooperation with the EndoCert Certification Commission to survey the treatment protocols for septic revision arthroplasties in EPZ. Questions targeted the various treatment options including prosthesis preserving procedures (DAIR - Debridement, antibiotics, irrigation, and retention of the prosthesis), one-stage revision, two-stage revision, removal of the endoprosthesis and diagnostic sampling prior to re-implantation. All certified EPZ participated (n = 504) and the results from the current survey in 2020 were compared to data from a previous analysis in 2015. Results The number of centres that performed DAIR up to a maximum of 4 weeks and more than 10 weeks after index surgery decreased since 2015, while the number
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- Author
- Katrin Osmanski-Zenk; Annett Klinder; Christina Rimke; Dieter C. Wirtz; Christoph H. Lohmann; Holger Haas; Bernd Kladny; Wolfram Mittelmeier
- Published
- 2021
- Language
- EN
- Field
- Medicine (Health Sciences)