Infección periprotésica de rodilla ¿influye la estrategia quirúrgica en el resultado funcional?

Crego-Vita, Diana; Sánchez-Pérez, Coral; Correa, Arisel; Aedo-Martín, Daniel

doi:10.35366/or195g

Cited by 2 publications

(3 citation statements)

References 35 publications

(34 reference statements)

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“…After identifying total of 279 studies, 142 duplicates were removed, and 99 irrelevant studies were excluded based on the titles and abstracts. The full text of 38 articles was read, and 27 retrospective studies were included in the systematic review ( 8 , 11, 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 ). Due to six studies discussing hip and knee replacements ( 38 , 38 , 39 , 40 , 41 , 42 ), we were unable to separate and extract knee-specific data for inclusion in our article.…”

Section: Resultsmentioning

confidence: 99%

“…Due to six studies discussing hip and knee replacements ( 38 , 38 , 39 , 40 , 41 , 42 ), we were unable to separate and extract knee-specific data for inclusion in our article. Consequently, we only included them in the systematic review, resulting in a final meta-analysis comprising 21 studies ( 8 , 11, 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 ). The literature screening process is shown in Fig.…”

Section: Resultsmentioning

confidence: 99%

“…The 18 trials included in this study reported the reinfection rates after the two surgical regimens (11, 19 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 ). As there was no heterogeneity between the results ( I 2 = 0%), the fixed-effect model was used to pool the results.…”

Section: Resultsmentioning

confidence: 99%

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Systematic review and meta-analysis of single-stage versus two-stage revision for periprosthetic joint infection after knee arthroplasty: a call for a randomised trial

Xie,

Pan,

Wang

et al. 2024

EFORT Open Reviews

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Purpose Knee arthroplasty is an effective treatment for severe knee degeneration; however, periprosthetic joint infection (PJI) is one of its serious complications. Single- and two-stage revision are common treatments, but few studies have compared single- and two-stage revision for PJI after knee arthroplasty. This study aimed to compare the reinfection and reoperation rates of single- and two-stage revision through meta-analysis. Methods The review process was conducted according to the PRISMA guidelines. We searched the PubMed, Medline, Embase and Cochrane Central Register of Controlled Trials databases for trials comparing single- and two-stage revision for PJI after knee arthroplasty from the respective inception dates to April 2023. Two researchers individually screened the studies, performed the literature quality evaluation and data extraction and used Stata 17 software for data analysis. Results The meta-analysis showed that the reinfection rate was significantly lower in the single-stage revision group than in the two-stage revision group. While the reoperation rates demonstrated no statistically significant difference between the two groups. We presented descriptive results because the discrepancies in the knee function scores and data reported in the studies meant that these data could not be combined in the meta-analysis. Conclusion Based on the available research, single-stage revision is a reliable option for PJI after knee arthroplasty. However, when developing the best treatment strategy, it is still necessary to consider the individual circumstances and needs of the patient, as well as the risks of postoperative rehabilitation and complications.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Systematic review and meta-analysis of single-stage versus two-stage revision for periprosthetic joint infection after knee arthroplasty: a call for a randomised trial

Xie,

Pan,

Wang

et al. 2024

EFORT Open Reviews

View full text Add to dashboard Cite

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Systematic review and meta-analysis of single-stage vs two-stage revision for periprosthetic joint infection: a call for a prospective randomized trial

Zhao,

Fan,

Wang

et al. 2024

BMC Musculoskelet Disord

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Background Periprosthetic joint infection (PJI) is a severe complication of joint arthroplasty that causes significant pain and economic loss. This study aimed to determine whether the current evidence supports single-stage revision for PJI based on reinfection and reoperation rates. Methods We searched the PubMed, EBSCO, Medline, and Cochrane Library databases from inception to 30 May 2023 to identify studies that compared single-stage revision and two-stage revision for PJI. Data on reinfection and reoperation rates were pooled. Results This meta-analysis included a total of 40 studies with 8711 patients. Overall, there was no significant difference between single- and two-stage revision regarding the postoperative reinfection rate and reoperation rate. Subgroup analysis by surgery period and different surgical sites revealed no difference between the two groups in the reinfection and reoperation rates. Conclusions Based on the available evidence, our study did not identify a significant difference in reinfection and reoperation rates between single- and two-stage revision for PJI. Given the limitations in inclusion/exclusion criteria and the observed heterogeneity, we acknowledge the complexity of drawing strong conclusions. Therefore, we suggest that the choice between single- and two-stage revision should be carefully considered on an individual basis, taking into account patient-specific factors and further research developments.

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Infección periprotésica de rodilla ¿influye la estrategia quirúrgica en el resultado funcional?

Cited by 2 publications

References 35 publications

Systematic review and meta-analysis of single-stage versus two-stage revision for periprosthetic joint infection after knee arthroplasty: a call for a randomised trial

Systematic review and meta-analysis of single-stage versus two-stage revision for periprosthetic joint infection after knee arthroplasty: a call for a randomised trial

Systematic review and meta-analysis of single-stage vs two-stage revision for periprosthetic joint infection: a call for a prospective randomized trial

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