Importance of Patient Selection for Treatment of Infected Total Knee Prosthesis
Does the Selection of Patients Helps Healing the Infection After Change in One Step of a Knee Replacement?
1 other identifier
observational
60
0 countries
N/A
Brief Summary
The infection of a total knee replacement often imposes changing implants. The change in two step is currently considered the gold standard. The change in one step is a much debated attitude: strictly contra-indicated for some professionals, but others agree to reserve these for favorable suspected cases selected. Several criteria have been proposed in the literature: age, condition, duration of infection, known bacterium responsible, not virulent and sensitive to antibiotics, no fistula, no significant bone destruction. But these criteria are poorly validated, standing over an experience of surgical teams rather than high-level scientific studies. Some authors have proposed to achieve change in one step systematically. The results of these cohorts on healing the infection does not seem very different from the changes in two steps. But it is most often single-center series, uncontrolled, with small numbers.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for all trials
Started Mar 2015
Shorter than P25 for all trials
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Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
January 25, 2015
CompletedStudy Start
First participant enrolled
March 1, 2015
CompletedFirst Posted
Study publicly available on registry
April 1, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 31, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
January 31, 2016
CompletedSeptember 5, 2025
September 1, 2025
11 months
January 25, 2015
September 4, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Recovery from the infection measured visually
show that the selection process of patients used improve treatment outcomes of infection in total knee replacement
for the duration of hospital stay, up to 1 year
Interventions
Eligibility Criteria
Patients over 18 years having surgery for the management of knee infection after change in one step of a knee replacement prothesis in the participating services between 2000 and 2010.
You may qualify if:
- Patients over 18 years
- Patient having surgery for the management of knee infection after change in one step of a knee replacement prothesis in the participating services between 2000 and 2010.
You may not qualify if:
- Patients under 18 years
Contact the study team to confirm eligibility.
Sponsors & Collaborators
MeSH Terms
Conditions
Study Officials
- PRINCIPAL INVESTIGATOR
Jean-Yves JENNY, MD
University Hospital, Strasbourg, France
Study Design
- Study Type
- observational
- Observational Model
- OTHER
- Time Perspective
- RETROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 25, 2015
First Posted
April 1, 2015
Study Start
March 1, 2015
Primary Completion
January 31, 2016
Study Completion
January 31, 2016
Last Updated
September 5, 2025
Record last verified: 2025-09