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

Holger Haas¹  Hermann Josef Bail²  Gabriela von Lewinski³  Bernd Kladny⁴  Peter Heppt⁵  Andreas Enz⁶  Christina Rimke⁶  Katrin Osmanski-Zenk⁶  Wolfram Mittelmeier⁶  Christoph H. Lohmann⁷ 

[1] Allgemeine Orthopädie, Unfallchirurgie und Sportmedizin, Gemeinschaftskrankenhaus St Elisabeth St Petrus St Johannes gGmbH, Haus St. Petrus / Bonner Talweg 4-6, 53113, Bonn, Germany;Klinik für Orthopädie und Unfallchirurgie, Klinikum Nürnberg Süd, Universitätsklinik der Paracelsus Medizinischen Privatuniversität Nürnberg, Breslauer Straße 201, 90471, Nuremberg, Germany;Klinik für Unfallchirurgie, Orthopädie und Plastische Chirurgie, Universitätsmedizin Göttingen, Robert-Koch-Straße 40, 37075, Goettingen, Germany;M&I Fachklinik Herzogenaurach, In der Reuth 1, 91074, Herzogenaurach, Germany;OCE Orthopädie Centrum Erlangen, Nägelsbachstraße 49A, 91052, Erlangen, Germany;Orthopädische Klinik und Poliklinik, Universitätsmedizin Rostock, Doberaner Straße 142, 18059, Rostock, Germany;Orthopädische Universitätsklinik, Otto-von-Guericke Universität Magdeburg, Leipziger Str. 44, 39120, Magdeburg, Germany;

关键词: Revision arthroplasty;    Two-stage revision;    Periprosthetic joint infection;    Certification;    Incident reporting;    Surveys;   

DOI  :  10.1186/s12891-020-03670-y

来源: Springer

【 摘 要 】

BackgroundThe 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.MethodsA 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%.ResultsFor 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.ConclusionThe 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.

【 授权许可】

CC BY