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Prosthetic Joint Infection: Report on the One versus Two-stage Exchange EBJIS Survey

Background: Prosthetic Joint Infection (PJI) is one of the most challenging problems in orthopaedic surgery and musculoskeletal infections specifically. Some very important controversies remain and strong evidence-based recommendations are still lacking in many clinical aspects. Therefore, an undisp...

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Autores principales: Leite, Pedro Santos, Figueiredo, Sérgio, Sousa, Ricardo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Ivyspring International Publisher 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5423559/
https://www.ncbi.nlm.nih.gov/pubmed/28529844
http://dx.doi.org/10.7150/jbji.14671
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author Leite, Pedro Santos
Figueiredo, Sérgio
Sousa, Ricardo
author_facet Leite, Pedro Santos
Figueiredo, Sérgio
Sousa, Ricardo
author_sort Leite, Pedro Santos
collection PubMed
description Background: Prosthetic Joint Infection (PJI) is one of the most challenging problems in orthopaedic surgery and musculoskeletal infections specifically. Some very important controversies remain and strong evidence-based recommendations are still lacking in many clinical aspects. Therefore, an undisputed methodology of treatment does not exist yet and there are many different valid approaches. Purposes: To draw a picture of the different practice patterns around Europe and understand the motivations of the European Bone & Joint Infection Society (EBJIS) members in choosing between one- or two-stage revision surgery in treating chronic PJI. Methods: The participants of the 34(th) EBJIS Annual Meeting were surveyed through an online questionnaire. The survey assessed the main philosophy in the treatment of chronic PJI, personal and institutional information as well as the importance of different factors in choosing two-stage or one-stage procedures. Results: One hundred and forty-three participants responded to the survey, including a significant group of skilful orthopaedic surgeons with large experience in treating musculoskeletal infections. Primarily two-stage was the most common philosophy regrading treatment of chronic PJI (60.1%), followed by two-stage or one-stage accordingly (34,8%) and primarily one-stage (5,1%). Significant soft tissue compromise, failure of previous revision surgery attempts, highly resistant or unclear infective microorganism(s) preoperatively and patient presenting with sepsis or immunosuppression, were considered the more relevant factors in choosing two-stage instead one-stage procedures. Interpretation: Treatment of chronic PJI is challenging and demanding. An open dialogue to share the different experiences and a collective effort to plan a major multicentre research in order to establish standardized protocols are essential.
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spelling pubmed-54235592017-05-19 Prosthetic Joint Infection: Report on the One versus Two-stage Exchange EBJIS Survey Leite, Pedro Santos Figueiredo, Sérgio Sousa, Ricardo J Bone Jt Infect Research Paper Background: Prosthetic Joint Infection (PJI) is one of the most challenging problems in orthopaedic surgery and musculoskeletal infections specifically. Some very important controversies remain and strong evidence-based recommendations are still lacking in many clinical aspects. Therefore, an undisputed methodology of treatment does not exist yet and there are many different valid approaches. Purposes: To draw a picture of the different practice patterns around Europe and understand the motivations of the European Bone & Joint Infection Society (EBJIS) members in choosing between one- or two-stage revision surgery in treating chronic PJI. Methods: The participants of the 34(th) EBJIS Annual Meeting were surveyed through an online questionnaire. The survey assessed the main philosophy in the treatment of chronic PJI, personal and institutional information as well as the importance of different factors in choosing two-stage or one-stage procedures. Results: One hundred and forty-three participants responded to the survey, including a significant group of skilful orthopaedic surgeons with large experience in treating musculoskeletal infections. Primarily two-stage was the most common philosophy regrading treatment of chronic PJI (60.1%), followed by two-stage or one-stage accordingly (34,8%) and primarily one-stage (5,1%). Significant soft tissue compromise, failure of previous revision surgery attempts, highly resistant or unclear infective microorganism(s) preoperatively and patient presenting with sepsis or immunosuppression, were considered the more relevant factors in choosing two-stage instead one-stage procedures. Interpretation: Treatment of chronic PJI is challenging and demanding. An open dialogue to share the different experiences and a collective effort to plan a major multicentre research in order to establish standardized protocols are essential. Ivyspring International Publisher 2016-01-20 /pmc/articles/PMC5423559/ /pubmed/28529844 http://dx.doi.org/10.7150/jbji.14671 Text en © Ivyspring International Publisher This is an open access article distributed under the terms of the Creative Commons Attribution (CC BY-NC) license (https://creativecommons.org/licenses/by-nc/4.0/). See http://ivyspring.com/terms for full terms and conditions.
spellingShingle Research Paper
Leite, Pedro Santos
Figueiredo, Sérgio
Sousa, Ricardo
Prosthetic Joint Infection: Report on the One versus Two-stage Exchange EBJIS Survey
title Prosthetic Joint Infection: Report on the One versus Two-stage Exchange EBJIS Survey
title_full Prosthetic Joint Infection: Report on the One versus Two-stage Exchange EBJIS Survey
title_fullStr Prosthetic Joint Infection: Report on the One versus Two-stage Exchange EBJIS Survey
title_full_unstemmed Prosthetic Joint Infection: Report on the One versus Two-stage Exchange EBJIS Survey
title_short Prosthetic Joint Infection: Report on the One versus Two-stage Exchange EBJIS Survey
title_sort prosthetic joint infection: report on the one versus two-stage exchange ebjis survey
topic Research Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5423559/
https://www.ncbi.nlm.nih.gov/pubmed/28529844
http://dx.doi.org/10.7150/jbji.14671
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