{"id":"https://openalex.org/W7225386403","doi":"https://doi.org/10.1302/1358-992x.2026.11.026","title":"REINFECTION AND COMPLICATION RATES AFTER ONE- VERSUS TWO-STAGE REVISION ARTHROPLASTY FOR HIP AND KNEE PERIPROSTHETIC JOINT INFECTION: A REFERRAL COHORT","display_name":"REINFECTION AND COMPLICATION RATES AFTER ONE- VERSUS TWO-STAGE REVISION ARTHROPLASTY FOR HIP AND KNEE PERIPROSTHETIC JOINT INFECTION: A REFERRAL COHORT","publication_year":2026,"publication_date":"2026-11-06","ids":{"openalex":"https://openalex.org/W7225386403","doi":"https://doi.org/10.1302/1358-992x.2026.11.026"},"language":"en","primary_location":{"id":"doi:10.1302/1358-992x.2026.11.026","doi":"https://doi.org/10.1302/1358-992x.2026.11.026","is_oa":false,"landing_page_url":"https://doi.org/10.1302/1358-992x.2026.11.026","pdf_url":null,"source":{"id":"https://openalex.org/S4387287184","display_name":"Orthopaedic Proceedings","issn_l":"1358-992X","issn":["1358-992X","2049-4416"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Orthopaedic Proceedings","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5161090666","display_name":"Vienna Mertens","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2800191616","display_name":"Maastricht University Medical Centre","ror":"https://ror.org/02d9ce178","country_code":"NL","type":"healthcare","lineage":["https://openalex.org/I2800191616"]}],"countries":["NL"],"is_corresponding":false,"raw_author_name":"Vienna Mertens","raw_affiliation_strings":["Maastricht University Medical Center, Maastricht, Netherlands"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Maastricht University Medical Center, Maastricht, Netherlands","institution_ids":["https://openalex.org/I2800191616"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5067615323","display_name":"Tom A. G. van Vugt","orcid":"https://orcid.org/0000-0002-5430-5411","observed_orcids":["https://orcid.org/0000-0002-5430-5411"]},"institutions":[{"id":"https://openalex.org/I2800191616","display_name":"Maastricht University Medical Centre","ror":"https://ror.org/02d9ce178","country_code":"NL","type":"healthcare","lineage":["https://openalex.org/I2800191616"]}],"countries":["NL"],"is_corresponding":false,"raw_author_name":"Tom van Vugt","raw_affiliation_strings":["Maastricht University Medical Center, Maastricht, Netherlands"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Maastricht University Medical Center, Maastricht, Netherlands","institution_ids":["https://openalex.org/I2800191616"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5008420541","display_name":"Ilona M. Punt","orcid":"https://orcid.org/0000-0001-8803-7497","observed_orcids":["https://orcid.org/0000-0001-8803-7497"]},"institutions":[{"id":"https://openalex.org/I2800191616","display_name":"Maastricht University Medical Centre","ror":"https://ror.org/02d9ce178","country_code":"NL","type":"healthcare","lineage":["https://openalex.org/I2800191616"]}],"countries":["NL"],"is_corresponding":false,"raw_author_name":"Ilona Punt","raw_affiliation_strings":["Maastricht University Medical Center, Maastricht, Netherlands"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Maastricht University Medical Center, Maastricht, Netherlands","institution_ids":["https://openalex.org/I2800191616"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5038809558","display_name":"Jan A. P. Geurts","orcid":"https://orcid.org/0000-0002-0973-572X","observed_orcids":["https://orcid.org/0000-0002-0973-572X"]},"institutions":[{"id":"https://openalex.org/I2800191616","display_name":"Maastricht University Medical Centre","ror":"https://ror.org/02d9ce178","country_code":"NL","type":"healthcare","lineage":["https://openalex.org/I2800191616"]}],"countries":["NL"],"is_corresponding":false,"raw_author_name":"Jan Geurts","raw_affiliation_strings":["Maastricht University Medical Center, Maastricht, Netherlands"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Maastricht University Medical Center, Maastricht, Netherlands","institution_ids":["https://openalex.org/I2800191616"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I2800191616"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"108-B","issue":"SUPP_11","first_page":"26","last_page":"26"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11293","display_name":"Orthopedic Infections and Treatments","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11293","display_name":"Orthopedic Infections and Treatments","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11381","display_name":"Infectious Diseases and Tuberculosis","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10512","display_name":"Orthopaedic implants and arthroplasty","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/periprosthetic-joint-infection","display_name":"periprosthetic joint infection","score":0.996999979019165},{"id":"https://openalex.org/keywords/revision-arthroplasty","display_name":"revision arthroplasty","score":0.9120000004768372},{"id":"https://openalex.org/keywords/one-stage-revision","display_name":"one-stage revision","score":0.8820000290870667},{"id":"https://openalex.org/keywords/two-stage-revision","display_name":"two-stage revision","score":0.9980000257492065},{"id":"https://openalex.org/keywords/reinfection","display_name":"reinfection","score":0.7620000243186951},{"id":"https://openalex.org/keywords/postoperative-complications","display_name":"postoperative complications","score":0.9580000042915344},{"id":"https://openalex.org/keywords/hip-arthroplasty","display_name":"total hip arthroplasty","score":0.9639999866485596},{"id":"https://openalex.org/keywords/knee-arthroplasty","display_name":"knee arthroplasty","score":1.0},{"id":"https://openalex.org/keywords/coinfection","display_name":"co-infection","score":0.9290000200271606},{"id":"https://openalex.org/keywords/staphylococcus-aureus","display_name":"Staphylococcus aureus","score":0.968999981880188},{"id":"https://openalex.org/keywords/staphylococcus-epidermidis","display_name":"Staphylococcus epidermidis","score":0.9950000047683716},{"id":"https://openalex.org/keywords/gram-negative-bacteria","display_name":"Gram-negative bacteria","score":0.640999972820282},{"id":"https://openalex.org/keywords/antibiotic-therapy","display_name":"antibiotic therapy","score":0.5979999899864197},{"id":"https://openalex.org/keywords/implant-retention","display_name":"implant retention","score":0.5519999861717224},{"id":"https://openalex.org/keywords/debridement","display_name":"debridement","score":0.8619999885559082}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.949999988079071},{"id":"https://openalex.org/C2778120723","wikidata":"https://www.wikidata.org/wiki/Q16872681","display_name":"Periprosthetic","level":3,"score":0.9362000226974487},{"id":"https://openalex.org/C81182388","wikidata":"https://www.wikidata.org/wiki/Q353963","display_name":"Complication","level":2,"score":0.7311000227928162},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.7250000238418579},{"id":"https://openalex.org/C2778336525","wikidata":"https://www.wikidata.org/wiki/Q708178","display_name":"Arthroplasty","level":2,"score":0.6941999793052673},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.685699999332428},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.5138000249862671},{"id":"https://openalex.org/C2776135927","wikidata":"https://www.wikidata.org/wiki/Q5242559","display_name":"Referral","level":2,"score":0.48590001463890076},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.4652999937534332},{"id":"https://openalex.org/C3020736514","wikidata":"https://www.wikidata.org/wiki/Q32333487","display_name":"Hip arthroplasty","level":3,"score":0.4277999997138977},{"id":"https://openalex.org/C3018947069","wikidata":"https://www.wikidata.org/wiki/Q1863402","display_name":"Joint arthroplasty","level":3,"score":0.4115999937057495},{"id":"https://openalex.org/C2778104916","wikidata":"https://www.wikidata.org/wiki/Q1693864","display_name":"Knee replacement","level":3,"score":0.3725000023841858},{"id":"https://openalex.org/C68312169","wikidata":"https://www.wikidata.org/wiki/Q216685","display_name":"Orthopedic surgery","level":2,"score":0.3589000105857849},{"id":"https://openalex.org/C2781411149","wikidata":"https://www.wikidata.org/wiki/Q486975","display_name":"Implant","level":2,"score":0.34470000863075256},{"id":"https://openalex.org/C61511704","wikidata":"https://www.wikidata.org/wiki/Q1671857","display_name":"Incidence (geometry)","level":2,"score":0.3240000009536743},{"id":"https://openalex.org/C2778715743","wikidata":"https://www.wikidata.org/wiki/Q181802","display_name":"Prosthesis","level":2,"score":0.3089999854564667},{"id":"https://openalex.org/C2910763605","wikidata":"https://www.wikidata.org/wiki/Q7705274","display_name":"Tertiary referral centre","level":2,"score":0.3070000112056732},{"id":"https://openalex.org/C2780283434","wikidata":"https://www.wikidata.org/wiki/Q7705274","display_name":"Tertiary referral hospital","level":3,"score":0.2736000120639801},{"id":"https://openalex.org/C2776164576","wikidata":"https://www.wikidata.org/wiki/Q62736","display_name":"Osteoarthritis","level":3,"score":0.26179999113082886}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1302/1358-992x.2026.11.026","doi":"https://doi.org/10.1302/1358-992x.2026.11.026","is_oa":false,"landing_page_url":"https://doi.org/10.1302/1358-992x.2026.11.026","pdf_url":null,"source":{"id":"https://openalex.org/S4387287184","display_name":"Orthopaedic Proceedings","issn_l":"1358-992X","issn":["1358-992X","2049-4416"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Orthopaedic Proceedings","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4406877314","https://openalex.org/W4405651244","https://openalex.org/W4410540005","https://openalex.org/W3203531937","https://openalex.org/W2257988318","https://openalex.org/W4399291333","https://openalex.org/W2796384333","https://openalex.org/W6921125641","https://openalex.org/W4416832009","https://openalex.org/W7128804752"],"abstract_inverted_index":{"Introduction":[0],"&":[1],"Aim":[2],"because":[3],"of":[4,49,99,189,229,249],"the":[5,55,100,172,190,221,233,237,250,274],"great":[6],"morbidity":[7],"and":[8,23,35,57,62,68,107,115,121,130,142,152,166,198,207,214,266,291,313,323,336,352],"even":[9],"mortality":[10],"associated":[11,193,253,331],"with":[12,88,111,194,203,254,307,332],"periprosthetic":[13,338],"joint":[14,339],"infection":[15],"(PJI),":[16],"adequate":[17],"treatment":[18],"is":[19,52],"imperative.":[20],"Both":[21],"one-":[22,61,90,165,312],"two-stage":[24,63,92,167,222,314,327],"revision":[25,64,93,119,168,187,205,230,247,315,329],"arthroplasty":[26,65,94,169,188],"are":[27],"used":[28],"in":[29,41,71,159,170,283,299,320,349],"clinical":[30],"practice.":[31],"Their":[32],"relative":[33],"reinfection":[34,56,160,258,318],"complication":[36,58,200,240],"rates":[37,59,161,201,241,319],"remain":[38],"debated,":[39],"especially":[40],"an":[42],"unselected":[43],"heterogeneous":[44],"referral":[45,75,303],"population.":[46],"The":[47,279],"aim":[48],"our":[50,284],"study":[51,81],"to":[53],"investigate":[54],"after":[60],"for":[66,95],"hip":[67,101,151,173,191,223,251,322,328],"knee":[69,154,175,238,324,337],"PJI":[70,98,309],"a":[72,78,96,226,255],"real-life":[73,301],"tertiary":[74,302],"cohort.":[76],"Methods":[77],"retrospective":[79],"cohort":[80,176,285],"was":[82,192,252,330],"performed":[83],"including":[84,305],"all":[85],"patients":[86,123,147,306],"treated":[87],"either":[89,171],"or":[91,102,174,182],"first":[97],"knee,":[103],"between":[104,164],"January":[105],"2014":[106],"December":[108],"2025.":[109],"Patients":[110],"prior":[112,118],"debridement,":[113],"antibiotics":[114],"implant":[116],"retention,":[117],"surgery":[120,248],"immunocompromised":[122],"were":[124,134,137,148,162,286],"included.":[125],"Patient-related,":[126],"diagnostic,":[127],"surgical,":[128],"microbiological":[129,353],"antibiotic":[131],"treatment-related":[132],"parameters":[133],"collected.":[135],"Complications":[136],"classified":[138],"as":[139,232,345],"minor,":[140],"major":[141],"total":[143],"complications.":[144,334],"Results":[145],"246":[146],"included":[149],"(150":[150],"96":[153],"PJIs).":[155],"No":[156],"significant":[157],"differences":[158],"observed":[163],"at":[177,183,267],"one":[178,268],"year,":[179],"four":[180],"years":[181],"full":[184],"follow-up.":[185],"Two-stage":[186],"significantly":[195,256],"higher":[196,227,257],"minor":[197],"overall":[199],"compared":[202],"one-stage":[204],"(p=0.002":[206],"p=0.003,":[208],"OR":[209,215],"4.02,":[210],"95%":[211,217],"CI":[212,218],"[1.57\u201310.26]":[213],"3.61,":[216],"[1.51-8.34]).":[219],"However,":[220],"group":[224],"comprised":[225],"proportion":[228],"arthroplasties":[231],"index":[234],"procedure.":[235],"In":[236],"cohort,":[239,304],"did":[242],"not":[243],"differ":[244,347],"significantly.":[245],"Prior":[246],"risk":[259,310],"over":[260],"time":[261],"(log-rank":[262,277],"p":[263],"=":[264],"0.011)":[265],"year":[269],"initial":[270],"polymicrobial":[271],"infections":[272,340],"had":[273],"poorest":[275],"survival":[276],"p=0.045).":[278],"most":[280],"common":[281],"microorganisms":[282],"gram-positive,":[287],"particularly":[288],"S.":[289,292],"aureus":[290],"epidermidis,":[293],"followed":[294],"by":[295],"gram-negative":[296],"microorganisms.":[297],"Conclusion":[298],"this":[300],"known":[308],"factors,":[311],"showed":[316],"similar":[317],"both":[321],"PJI,":[325],"while":[326],"more":[333],"Hip":[335],"should":[341],"be":[342],"analysed":[343],"separately,":[344],"they":[346],"substantially":[348],"patient":[350],"population":[351],"patterns.":[354]},"counts_by_year":[],"updated_date":"2026-11-10T11:39:43.021295","created_date":"2026-11-07T00:00:00"}
