{"id":"https://openalex.org/W7225392902","doi":"https://doi.org/10.1302/1358-992x.2026.11.035","title":"PERIPROSTHETIC JOINT INFECTION MANAGEMENT IN ITALY: A NATIONAL SURVEY REVEALING GAPS, VARIABILITY, AND THE NEED FOR SPECIALIZED CARE","display_name":"PERIPROSTHETIC JOINT INFECTION MANAGEMENT IN ITALY: A NATIONAL SURVEY REVEALING GAPS, VARIABILITY, AND THE NEED FOR SPECIALIZED CARE","publication_year":2026,"publication_date":"2026-11-06","ids":{"openalex":"https://openalex.org/W7225392902","doi":"https://doi.org/10.1302/1358-992x.2026.11.035"},"language":"en","primary_location":{"id":"doi:10.1302/1358-992x.2026.11.035","doi":"https://doi.org/10.1302/1358-992x.2026.11.035","is_oa":false,"landing_page_url":"https://doi.org/10.1302/1358-992x.2026.11.035","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/A5089231999","display_name":"Francesco Mancuso","orcid":"https://orcid.org/0000-0002-2551-5508","observed_orcids":["https://orcid.org/0000-0002-2551-5508"]},"institutions":[{"id":"https://openalex.org/I129043915","display_name":"University of Udine","ror":"https://ror.org/05ht0mh31","country_code":"IT","type":"education","lineage":["https://openalex.org/I129043915"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Francesco Mancuso","raw_affiliation_strings":["Medicine Department - DMED, University of Udine, Udine, Italy","Orthopedics Clinic, University Hospital, Udine, Italy","SIOT Infection Committee, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Medicine Department - DMED, University of Udine, Udine, Italy","institution_ids":["https://openalex.org/I129043915"]},{"raw_affiliation_string":"Orthopedics Clinic, University Hospital, Udine, Italy","institution_ids":["https://openalex.org/I129043915"]},{"raw_affiliation_string":"SIOT Infection Committee, Italy","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5019541039","display_name":"Daniele De Meo","orcid":"https://orcid.org/0000-0003-1914-5413","observed_orcids":["https://orcid.org/0000-0003-1914-5413"]},"institutions":[{"id":"https://openalex.org/I861853513","display_name":"Sapienza University of Rome","ror":"https://ror.org/02be6w209","country_code":"IT","type":"education","lineage":["https://openalex.org/I861853513"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Daniele De Meo","raw_affiliation_strings":["Department of Anatomical, Histological, Forensic Medicine and Orthopaedics Sciences, Sapienza University, Rome, Italy","SIOT Infection Committee, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Anatomical, Histological, Forensic Medicine and Orthopaedics Sciences, Sapienza University, Rome, Italy","institution_ids":["https://openalex.org/I861853513"]},{"raw_affiliation_string":"SIOT Infection Committee, Italy","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5112882373","display_name":"Domenico Costantino Aloj","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Domenico Aloj","raw_affiliation_strings":["Department of Orthopedics and Traumatology, Sant'Andrea Hospital, Vercelli, Italy","SIOT Infection Committee, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopedics and Traumatology, Sant'Andrea Hospital, Vercelli, Italy","institution_ids":[]},{"raw_affiliation_string":"SIOT Infection Committee, Italy","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5029423440","display_name":"Guido Antonini","orcid":"https://orcid.org/0000-0001-9350-1127","observed_orcids":["https://orcid.org/0000-0001-9350-1127"]},"institutions":[{"id":"https://openalex.org/I4210088346","display_name":"Azienda Ospedaliera Ospedale San Carlo Borromeo","ror":"https://ror.org/005s69p38","country_code":"IT","type":"healthcare","lineage":["https://openalex.org/I4210088346"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Guido Antonini","raw_affiliation_strings":["Department of Orthopedic and Traumatology, San Carlo Borromeo Hospital, Milan, Italy","SIOT Infection Committee, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopedic and Traumatology, San Carlo Borromeo Hospital, Milan, Italy","institution_ids":["https://openalex.org/I4210088346"]},{"raw_affiliation_string":"SIOT Infection Committee, Italy","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5024023108","display_name":"Tiziana Ascione","orcid":"https://orcid.org/0000-0002-0422-690X","observed_orcids":["https://orcid.org/0000-0002-0422-690X"]},"institutions":[{"id":"https://openalex.org/I4210087768","display_name":"Ospedale Antonio Cardarelli","ror":"https://ror.org/003hhqx84","country_code":"IT","type":"healthcare","lineage":["https://openalex.org/I4210087768"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Tiziana Ascione","raw_affiliation_strings":["SIOT Infection Committee, Italy","Service of Infectious Diseases, Cardarelli Hospital, Naples, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"SIOT Infection Committee, Italy","institution_ids":[]},{"raw_affiliation_string":"Service of Infectious Diseases, Cardarelli Hospital, Naples, Italy","institution_ids":["https://openalex.org/I4210087768"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5047463953","display_name":"Giovanni Balato","orcid":"https://orcid.org/0000-0002-0392-4511","observed_orcids":["https://orcid.org/0000-0002-0392-4511"]},"institutions":[{"id":"https://openalex.org/I4210117450","display_name":"Federico II University Hospital","ror":"https://ror.org/02jr6tp70","country_code":"IT","type":"healthcare","lineage":["https://openalex.org/I4210117450","https://openalex.org/I71267560"]},{"id":"https://openalex.org/I71267560","display_name":"University of Naples Federico II","ror":"https://ror.org/05290cv24","country_code":"IT","type":"education","lineage":["https://openalex.org/I71267560"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Giovanni Balato","raw_affiliation_strings":["Department of Public Health, Orthopedic Unit, \u201cFederico II\u201d University, Naples, Italy","SIOT Infection Committee, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Public Health, Orthopedic Unit, \u201cFederico II\u201d University, Naples, Italy","institution_ids":["https://openalex.org/I4210117450","https://openalex.org/I71267560"]},{"raw_affiliation_string":"SIOT Infection Committee, Italy","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5077556881","display_name":"Silvio Borr\u00e8","orcid":"https://orcid.org/0000-0003-3170-437X","observed_orcids":["https://orcid.org/0000-0003-3170-437X"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Silvio Borr\u00e8","raw_affiliation_strings":["Division of Infectious Diseases and Orthoinfectivology, Sant'Andrea Hospital, Vercelli, Italy","SIOT Infection Committee, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Infectious Diseases and Orthoinfectivology, Sant'Andrea Hospital, Vercelli, Italy","institution_ids":[]},{"raw_affiliation_string":"SIOT Infection Committee, Italy","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5000955667","display_name":"Massimiliano DE PAOLIS","orcid":"https://orcid.org/0000-0002-6182-9870","observed_orcids":["https://orcid.org/0000-0002-6182-9870"]},"institutions":[{"id":"https://openalex.org/I4210097083","display_name":"IRCCS Azienda Ospedliero-Universitaria di Bologna Policlinico di Sant'Orsola","ror":"https://ror.org/00t4vnv68","country_code":"IT","type":"healthcare","lineage":["https://openalex.org/I4210097083"]},{"id":"https://openalex.org/I9360294","display_name":"University of Bologna","ror":"https://ror.org/01111rn36","country_code":"IT","type":"education","lineage":["https://openalex.org/I9360294"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Massimiliano De Paolis","raw_affiliation_strings":["Orthopedic and Traumatology Unit, IRCCS University Hospital S. Orsola, Bologna, Italy","SIOT Infection Committee, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Orthopedic and Traumatology Unit, IRCCS University Hospital S. Orsola, Bologna, Italy","institution_ids":["https://openalex.org/I4210097083","https://openalex.org/I9360294"]},{"raw_affiliation_string":"SIOT Infection Committee, Italy","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5031631501","display_name":"Giorgio Gasparini","orcid":"https://orcid.org/0000-0002-8256-7697","observed_orcids":["https://orcid.org/0000-0002-8256-7697"]},"institutions":[{"id":"https://openalex.org/I36443711","display_name":"Magna Graecia University","ror":"https://ror.org/0530bdk91","country_code":"IT","type":"education","lineage":["https://openalex.org/I36443711"]},{"id":"https://openalex.org/I4210133461","display_name":"Azienda Ospedaliero-Universitaria \"Renato Dulbecco\"","ror":"https://ror.org/03q658t19","country_code":"IT","type":"healthcare","lineage":["https://openalex.org/I4210133461"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Giorgio Gasparini","raw_affiliation_strings":["Department of Orthopaedic and Trauma Surgery, Magna Graecia University, \u201cRenato Dulbecco\u201d University Hospital, Catanzaro, Italy","SIOT Infection Committee, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedic and Trauma Surgery, Magna Graecia University, \u201cRenato Dulbecco\u201d University Hospital, Catanzaro, Italy","institution_ids":["https://openalex.org/I36443711","https://openalex.org/I4210133461"]},{"raw_affiliation_string":"SIOT Infection Committee, Italy","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5026555482","display_name":"Paolo Martini","orcid":"https://orcid.org/0000-0002-2702-9060","observed_orcids":["https://orcid.org/0000-0002-2702-9060"]},"institutions":[{"id":"https://openalex.org/I861853513","display_name":"Sapienza University of Rome","ror":"https://ror.org/02be6w209","country_code":"IT","type":"education","lineage":["https://openalex.org/I861853513"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Paolo Martini","raw_affiliation_strings":["Department of Anatomical, Histological, Forensic Medicine and Orthopaedics Sciences, Sapienza University, Rome, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Anatomical, Histological, Forensic Medicine and Orthopaedics Sciences, Sapienza University, Rome, Italy","institution_ids":["https://openalex.org/I861853513"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5042566670","display_name":"Marco Mugnaini","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210113686","display_name":"Ospedale Santa Maria Annunziata","ror":"https://ror.org/01zmw6f28","country_code":"IT","type":"healthcare","lineage":["https://openalex.org/I4210113686"]},{"id":"https://openalex.org/I4210156604","display_name":"Azienda Usl Toscana Centro","ror":"https://ror.org/05a87zb20","country_code":"IT","type":"healthcare","lineage":["https://openalex.org/I4210156604"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Marco Mugnaini","raw_affiliation_strings":["Department of Orthopaedic Surgery, Santa Maria Annunziata Hospital, Azienda USL Toscana Centro, Florence, Italy","SIOT Infection Committee, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery, Santa Maria Annunziata Hospital, Azienda USL Toscana Centro, Florence, Italy","institution_ids":["https://openalex.org/I4210113686","https://openalex.org/I4210156604"]},{"raw_affiliation_string":"SIOT Infection Committee, Italy","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5038850029","display_name":"Antonio Pellegrini","orcid":"https://orcid.org/0000-0003-2969-4897","observed_orcids":["https://orcid.org/0000-0003-2969-4897"]},"institutions":[{"id":"https://openalex.org/I4210113215","display_name":"IRCCS Ospedale Galeazzi - Sant'Ambrogio","ror":"https://ror.org/01vyrje42","country_code":"IT","type":"healthcare","lineage":["https://openalex.org/I4210113215","https://openalex.org/I4210153126"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Antonio Pellegrini","raw_affiliation_strings":["SIOT Infection Committee, Italy","UO CRIO, IRCCS Galeazzi-Sant'Ambrogio Hospital, Milan, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"SIOT Infection Committee, Italy","institution_ids":[]},{"raw_affiliation_string":"UO CRIO, IRCCS Galeazzi-Sant'Ambrogio Hospital, Milan, Italy","institution_ids":["https://openalex.org/I4210113215"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5002624228","display_name":"Gabriele Tucci","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Gabriele Tucci","raw_affiliation_strings":["Orthopedics and Traumatology Unit, Ospedale dei Castelli, Ariccia, Rome, Italy","SIOT Infection Committee, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Orthopedics and Traumatology Unit, Ospedale dei Castelli, Ariccia, Rome, Italy","institution_ids":[]},{"raw_affiliation_string":"SIOT Infection Committee, Italy","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5029820715","display_name":"Araldo Causero","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I129043915","display_name":"University of Udine","ror":"https://ror.org/05ht0mh31","country_code":"IT","type":"education","lineage":["https://openalex.org/I129043915"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Araldo Causero","raw_affiliation_strings":["Medicine Department - DMED, University of Udine, Udine, Italy","Orthopedics Clinic, University Hospital, Udine, Italy","SIOT Infection Committee, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Medicine Department - DMED, University of Udine, Udine, Italy","institution_ids":["https://openalex.org/I129043915"]},{"raw_affiliation_string":"Orthopedics Clinic, University Hospital, Udine, Italy","institution_ids":["https://openalex.org/I129043915"]},{"raw_affiliation_string":"SIOT Infection Committee, Italy","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":13,"corresponding_author_ids":[],"corresponding_institution_ids":[],"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":"35","last_page":"35"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11293","display_name":"Orthopedic Infections and Treatments","score":1.0,"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":1.0,"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":0.0,"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/T11551","display_name":"Infective Endocarditis Diagnosis and Management","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"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":0.9990000128746033},{"id":"https://openalex.org/keywords/arthroplasty-complications","display_name":"arthroplasty complications","score":0.8730000257492065},{"id":"https://openalex.org/keywords/variation-in-clinical-practice","display_name":"clinical practice variation","score":0.6589999794960022},{"id":"https://openalex.org/keywords/multidisciplinary-care","display_name":"multidisciplinary care","score":0.753000020980835},{"id":"https://openalex.org/keywords/two-stage-revision","display_name":"two-stage revision","score":0.6700000166893005},{"id":"https://openalex.org/keywords/one-stage-revision","display_name":"one-stage revision","score":0.7960000038146973},{"id":"https://openalex.org/keywords/irrigation-solutions","display_name":"irrigating solutions","score":0.7979999780654907},{"id":"https://openalex.org/keywords/local-antibiotic-delivery","display_name":"local antibiotic delivery","score":0.7229999899864197},{"id":"https://openalex.org/keywords/antibiotic-loaded-bone-cement","display_name":"antibiotic-loaded bone cement","score":0.824999988079071},{"id":"https://openalex.org/keywords/povidone-iodine","display_name":"povidone-iodine","score":0.8259999752044678},{"id":"https://openalex.org/keywords/salvage-procedure","display_name":"salvage procedure","score":0.7979999780654907},{"id":"https://openalex.org/keywords/surgeon-perceptions","display_name":"surgeon perceptions","score":0.42399999499320984}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8712999820709229},{"id":"https://openalex.org/C22467394","wikidata":"https://www.wikidata.org/wiki/Q849359","display_name":"Multidisciplinary approach","level":2,"score":0.791700005531311},{"id":"https://openalex.org/C2778120723","wikidata":"https://www.wikidata.org/wiki/Q16872681","display_name":"Periprosthetic","level":3,"score":0.7275999784469604},{"id":"https://openalex.org/C537825242","wikidata":"https://www.wikidata.org/wiki/Q376680","display_name":"Traumatology","level":3,"score":0.5622000098228455},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.44279998540878296},{"id":"https://openalex.org/C524204448","wikidata":"https://www.wikidata.org/wiki/Q788926","display_name":"Infectious disease (medical specialty)","level":3,"score":0.4228000044822693},{"id":"https://openalex.org/C68312169","wikidata":"https://www.wikidata.org/wiki/Q216685","display_name":"Orthopedic surgery","level":2,"score":0.41769999265670776},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.4034999907016754},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.3424000144004822},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.34200000762939453},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.3377000093460083},{"id":"https://openalex.org/C166888038","wikidata":"https://www.wikidata.org/wiki/Q4118322","display_name":"Infection control","level":2,"score":0.32739999890327454},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.3246000111103058},{"id":"https://openalex.org/C3020326648","wikidata":"https://www.wikidata.org/wiki/Q924421","display_name":"Joint infections","level":4,"score":0.32089999318122864},{"id":"https://openalex.org/C2982889124","wikidata":"https://www.wikidata.org/wiki/Q107439039","display_name":"Disease management","level":4,"score":0.31279999017715454},{"id":"https://openalex.org/C65067816","wikidata":"https://www.wikidata.org/wiki/Q2295139","display_name":"Computer-assisted web interviewing","level":2,"score":0.29100000858306885},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.28450000286102295},{"id":"https://openalex.org/C2778602436","wikidata":"https://www.wikidata.org/wiki/Q4774943","display_name":"Antibiotic prophylaxis","level":3,"score":0.2770000100135803},{"id":"https://openalex.org/C2778336525","wikidata":"https://www.wikidata.org/wiki/Q708178","display_name":"Arthroplasty","level":2,"score":0.27320000529289246},{"id":"https://openalex.org/C107130276","wikidata":"https://www.wikidata.org/wiki/Q133805","display_name":"Epidemiology","level":2,"score":0.2590000033378601},{"id":"https://openalex.org/C142052008","wikidata":"https://www.wikidata.org/wiki/Q954027","display_name":"Cross-sectional study","level":2,"score":0.2515999972820282}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1302/1358-992x.2026.11.035","doi":"https://doi.org/10.1302/1358-992x.2026.11.035","is_oa":false,"landing_page_url":"https://doi.org/10.1302/1358-992x.2026.11.035","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"},{"id":"pmh:oai:air.uniud.it:11390/1344964","doi":null,"is_oa":false,"landing_page_url":"https://hdl.handle.net/11390/1344964","pdf_url":null,"source":{"id":"https://openalex.org/S4306401163","display_name":"Institutional Research Information System (University of Udine)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I129043915","host_organization_name":"University of Udine","host_organization_lineage":["https://openalex.org/I129043915"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"info:eu-repo/semantics/article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4321503740","https://openalex.org/W4404497347","https://openalex.org/W4410617916","https://openalex.org/W2999420551","https://openalex.org/W4406951986","https://openalex.org/W7167064373","https://openalex.org/W2997402821","https://openalex.org/W3170685399","https://openalex.org/W7143387091","https://openalex.org/W3157240011"],"abstract_inverted_index":{"Aim":[0],"Periprosthetic":[1],"joint":[2],"infections":[3,217],"(PJIs)":[4],"remain":[5],"one":[6],"of":[7,27,100,113,216,289,378,384,390],"the":[8,25,50,54,140,155,175,287,299,351,364],"most":[9,201,300],"challenging":[10],"complications":[11],"in":[12,78,149,154,164,174,196,220,279,333,356],"arthroplasty,":[13],"requiring":[14],"complex":[15,385],"diagnostic":[16,107,391],"pathways,":[17,108],"multidisciplinary":[18,90,197],"management,":[19],"and":[20,42,57,72,116,122,136,168,248,271,286,295,308,327,336,361,387,392],"substantial":[21],"healthcare":[22],"resources.":[23],"Despite":[24],"publication":[26],"international":[28,259],"recommendations,":[29],"real-world":[30],"practice":[31,68],"often":[32],"differs":[33],"across":[34,359],"institutions":[35],"depending":[36],"on":[37],"local":[38,117,290],"expertise,":[39,376],"organizational":[40,70,166,267],"structure,":[41],"access":[43,186,372],"to":[44,131,187,245,317,373],"specialist":[45],"support.":[46],"To":[47],"better":[48],"characterize":[49],"current":[51],"national":[52,368],"landscape,":[53],"Italian":[55],"Orthopedics":[56],"Traumatology":[58],"Society":[59,251],"(SIOT)":[60],"conducted":[61],"a":[62,89,213,224],"survey":[63,93,352],"aimed":[64],"at":[65],"exploring":[66],"clinical":[67],"patterns,":[69],"resources,":[71],"surgeon":[73],"perceptions":[74],"regarding":[75,283],"PJI":[76,105,150,207,357],"management":[77,151,358],"Italy.":[79],"Methods":[80],"A":[81],"32-item":[82],"structured":[83],"online":[84],"questionnaire":[85,128],"was":[86,129,229,234,261,276,340,346],"developed":[87],"by":[88,258],"panel.":[91],"The":[92,127,159],"investigated":[94],"demographic":[95],"characteristics,":[96],"institutional":[97],"context,":[98],"availability":[99],"infectious":[101,188,374],"disease":[102,189,375],"support,":[103],"annual":[104],"caseload,":[106],"preferred":[109],"surgical":[110,225],"strategies,":[111,369],"use":[112,288],"irrigation":[114,284,303],"solutions":[115],"antibiotic":[118,291],"carriers,":[119],"salvage":[120],"procedures,":[121],"long-term":[123],"suppressive":[124,337],"antimicrobial":[125,338],"therapy.":[126,319],"distributed":[130],"society":[132],"members":[133],"between":[134],"April":[135],"June":[137],"2025.":[138],"Of":[139],"353":[141],"responses":[142],"received,":[143],"313":[144],"respondents":[145,172],"reporting":[146],"routine":[147],"involvement":[148],"were":[152,298,312],"included":[153],"final":[156],"analysis.":[157],"Results":[158],"results":[160],"showed":[161],"marked":[162],"heterogeneity":[163],"both":[165],"structure":[167],"treatment":[169],"strategies.":[170],"Most":[171],"worked":[173],"National":[176],"Health":[177],"Service,":[178],"but":[179],"more":[180],"than":[181,205],"20%":[182],"reported":[183],"no":[184],"regular":[185],"specialists,":[190],"highlighting":[191],"an":[192],"important":[193],"structural":[194],"gap":[195],"care.":[198],"In":[199],"addition,":[200],"surgeons":[202],"managed":[203],"fewer":[204],"10":[206],"cases":[208],"per":[209],"year,":[210],"suggesting":[211],"that":[212],"large":[214],"proportion":[215],"are":[218],"treated":[219],"low-volume":[221],"settings.":[222],"From":[223],"perspective,":[226],"two-stage":[227],"revision":[228],"universally":[230],"accepted,":[231],"while":[232,305],"DAIR":[233],"widely":[235,313],"considered":[236,342],"appropriate":[237],"under":[238],"selected":[239],"timing":[240],"criteria,":[241],"demonstrating":[242],"strong":[243],"adherence":[244],"European":[246],"Bone":[247,380],"Joint":[249],"Infection":[250,381],"recommendations.":[252],"One-stage":[253],"revision,":[254],"although":[255],"increasingly":[256],"supported":[257],"literature,":[260],"less":[262],"commonly":[263,301],"adopted,":[264],"likely":[265],"reflecting":[266],"barriers,":[268],"limited":[269],"experience,":[270],"medico-legal":[272],"concerns.":[273],"Considerable":[274],"variability":[275],"further":[277],"observed":[278],"perioperative":[280],"practices,":[281],"particularly":[282],"protocols":[285],"delivery":[292],"systems.":[293],"Saline":[294],"diluted":[296],"povidone-iodine":[297],"adopted":[302],"solutions,":[304],"antibiotic-loaded":[306],"cement":[307],"calcium":[309],"sulfate":[310],"carriers":[311],"used":[314],"as":[315,323],"adjuncts":[316],"systemic":[318],"Salvage":[320],"procedures":[321],"such":[322],"Girdlestone":[324],"resection":[325],"arthroplasty":[326],"knee":[328],"arthrodesis":[329],"remained":[330],"viable":[331],"options":[332],"refractory":[334],"cases,":[335,386],"therapy":[339],"frequently":[341],"when":[343],"curative":[344],"surgery":[345],"not":[347],"feasible.":[348],"Conclusions":[349],"Overall,":[350],"highlights":[353],"significant":[354],"disparities":[355],"Italy":[360],"strongly":[362],"supports":[363],"need":[365],"for":[366],"coordinated":[367],"including":[370],"universal":[371],"development":[377],"dedicated":[379],"Units,":[382],"centralization":[383],"greater":[388],"standardization":[389],"therapeutic":[393],"pathways.":[394]},"counts_by_year":[],"updated_date":"2026-11-08T12:12:28.789561","created_date":"2026-11-07T00:00:00"}
