Evaluation of the standard procedure for the treatment of periprosthetic joint infections (PJI) in Germany - results of a survey within the EndoCert initiative
Abstract Background The periprosthetic joint infection (PJI) is a severe complication in the field of arthroplasty. Despite the rising number of primary joint replacements, no unified therapeutic standard has been established for the treatment of PJI yet. Methods A survey on the principles of treatm...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2020-10-01
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| Series: | BMC Musculoskeletal Disorders |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12891-020-03670-y |
| _version_ | 1819008272885088256 |
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| author | Christina Rimke Andreas Enz Hermann Josef Bail Peter Heppt Bernd Kladny Gabriela von Lewinski Christoph H. Lohmann Katrin Osmanski-Zenk Holger Haas Wolfram Mittelmeier |
| author_facet | Christina Rimke Andreas Enz Hermann Josef Bail Peter Heppt Bernd Kladny Gabriela von Lewinski Christoph H. Lohmann Katrin Osmanski-Zenk Holger Haas Wolfram Mittelmeier |
| author_sort | Christina Rimke |
| collection | DOAJ |
| description | Abstract Background The periprosthetic joint infection (PJI) is a severe complication in the field of arthroplasty. Despite the rising number of primary joint replacements, no unified therapeutic standard has been established for the treatment of PJI yet. Methods A survey on the principles of treatment of PJI in Germany was conducted. A total of 515 EndoProthetikZentren (EPZ) were included, resulting in a response rate of 100%. Results For early infections 97.6% of the centers use prosthesis-preserving procedures (DAIR). A one-stage exchange was implemented by less than 50% of the centers. If implemented, this treatment entails a prior selection of patients for a successful treatment. The two-stage exchange is performed in all centers, and most centers proceed with the implantation of a cemented spacer between stages. 75% of the centers proceed with a center-based concept for the treatment of PJI. Conclusion The aim of a uniform PJI standard at the centers has not yet been fully achieved. Further improvements within the certification were initiated. The most relevant treatment options in Germany are displayed. The two-stage revision with a cemented spacer is the most widely implemented treatment. This exposition of principles could help for the further development of standardized treatment guidelines and definitions. |
| first_indexed | 2024-12-21T00:37:51Z |
| format | Article |
| id | doaj.art-aab6eb2f64bb4ded945653eb65bde87b |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-12-21T00:37:51Z |
| publishDate | 2020-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-aab6eb2f64bb4ded945653eb65bde87b2022-12-21T19:21:46ZengBMCBMC Musculoskeletal Disorders1471-24742020-10-012111810.1186/s12891-020-03670-yEvaluation of the standard procedure for the treatment of periprosthetic joint infections (PJI) in Germany - results of a survey within the EndoCert initiativeChristina Rimke0Andreas Enz1Hermann Josef Bail2Peter Heppt3Bernd Kladny4Gabriela von Lewinski5Christoph H. Lohmann6Katrin Osmanski-Zenk7Holger Haas8Wolfram Mittelmeier9Orthopädische Klinik und Poliklinik, Universitätsmedizin RostockOrthopädische Klinik und Poliklinik, Universitätsmedizin RostockKlinik für Orthopädie und Unfallchirurgie, Klinikum Nürnberg Süd, Universitätsklinik der Paracelsus Medizinischen Privatuniversität NürnbergOCE Orthopädie Centrum ErlangenM&I Fachklinik HerzogenaurachKlinik für Unfallchirurgie, Orthopädie und Plastische Chirurgie, Universitätsmedizin GöttingenOrthopädische Universitätsklinik, Otto-von-Guericke Universität MagdeburgOrthopädische Klinik und Poliklinik, Universitätsmedizin RostockAllgemeine Orthopädie, Unfallchirurgie und Sportmedizin, Gemeinschaftskrankenhaus St Elisabeth St Petrus St Johannes gGmbHOrthopädische Klinik und Poliklinik, Universitätsmedizin RostockAbstract Background The periprosthetic joint infection (PJI) is a severe complication in the field of arthroplasty. Despite the rising number of primary joint replacements, no unified therapeutic standard has been established for the treatment of PJI yet. Methods A survey on the principles of treatment of PJI in Germany was conducted. A total of 515 EndoProthetikZentren (EPZ) were included, resulting in a response rate of 100%. Results For early infections 97.6% of the centers use prosthesis-preserving procedures (DAIR). A one-stage exchange was implemented by less than 50% of the centers. If implemented, this treatment entails a prior selection of patients for a successful treatment. The two-stage exchange is performed in all centers, and most centers proceed with the implantation of a cemented spacer between stages. 75% of the centers proceed with a center-based concept for the treatment of PJI. Conclusion The aim of a uniform PJI standard at the centers has not yet been fully achieved. Further improvements within the certification were initiated. The most relevant treatment options in Germany are displayed. The two-stage revision with a cemented spacer is the most widely implemented treatment. This exposition of principles could help for the further development of standardized treatment guidelines and definitions.http://link.springer.com/article/10.1186/s12891-020-03670-yRevision arthroplastyTwo-stage revisionPeriprosthetic joint infectionCertificationIncident reportingSurveys |
| spellingShingle | Christina Rimke Andreas Enz Hermann Josef Bail Peter Heppt Bernd Kladny Gabriela von Lewinski Christoph H. Lohmann Katrin Osmanski-Zenk Holger Haas Wolfram Mittelmeier Evaluation of the standard procedure for the treatment of periprosthetic joint infections (PJI) in Germany - results of a survey within the EndoCert initiative BMC Musculoskeletal Disorders Revision arthroplasty Two-stage revision Periprosthetic joint infection Certification Incident reporting Surveys |
| title | Evaluation of the standard procedure for the treatment of periprosthetic joint infections (PJI) in Germany - results of a survey within the EndoCert initiative |
| title_full | Evaluation of the standard procedure for the treatment of periprosthetic joint infections (PJI) in Germany - results of a survey within the EndoCert initiative |
| title_fullStr | Evaluation of the standard procedure for the treatment of periprosthetic joint infections (PJI) in Germany - results of a survey within the EndoCert initiative |
| title_full_unstemmed | Evaluation of the standard procedure for the treatment of periprosthetic joint infections (PJI) in Germany - results of a survey within the EndoCert initiative |
| title_short | Evaluation of the standard procedure for the treatment of periprosthetic joint infections (PJI) in Germany - results of a survey within the EndoCert initiative |
| title_sort | evaluation of the standard procedure for the treatment of periprosthetic joint infections pji in germany results of a survey within the endocert initiative |
| topic | Revision arthroplasty Two-stage revision Periprosthetic joint infection Certification Incident reporting Surveys |
| url | http://link.springer.com/article/10.1186/s12891-020-03670-y |
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