A prospective multicenter cohort study on all types of revision knee arthroplasty procedures performed due to infection.
A prospective multicenter cohort study on all types of revision knee arthroplasty procedures performed due to infection. Most previous studies investigating outcomes after revisions of infected knee artrplasties are single-center studies and retrospective. The study group has previously investigated outcome of the surgical treatment of infected knee arthroplasties in Denmark based on nationwide data from Danish registries. These studies revealed that the risk of treatment failure causing re-revision or mortality was 30-40% in Denmark. Based on these findings, an ongoing randomized controlled trial "one-stage versus two-stage revisions of the infected knee arthroplasty" (ClinicalTrials.gov ID: NCT03435679) has been initiated by the study group in Febuary 2018. It has been possible to include 20% of the patients with surgically demanding periprosthetic knee infections from the including centres in this randomized trial due to in- and exclusions criteria. Hence, the investigators wish to include the remaining patients with periprosthetic knee joint infection in a prospective cohort study in order to obtain high quality prospective data on function, quality of life and complications after all types of surgical procedures performed due to periprosthetic knee joint infection. Based on these data it will be possible to evaluate the surgical treatment overall and it will be possible to evaluate whether the patients included in the randomized trial are representative. Study aim: To present patient reported outcome and postoperative complications after all types of surgical procedures performed due to periprosthetic knee infection. Furthermore, to analyze the role of potential risk factors (patient comorbidity, microbiological diagnosis, surgical intervention, antibiotic treatment, duration of symptoms) on outcome of the patients.
Study Type
OBSERVATIONAL
Enrollment
350
The intervention is the planned revision surgery according to local guidelines.
Aalborg University Hospital
Aalborg, Denmark
Bispebjerg Hospital
Copenhagen, Denmark
Hvidovre
Copenhagen, Denmark
Rigshospitalet
Copenhagen, Denmark
Change in Oxford Knee Score (Area Under Curve (AUC) from preoperatively to 12 months postoperatively)
Change in Oxford Knee Score from preoperatively to 12 months postoperatively measured as Area Under Curve. Oxford Knee Score ranges from 0 to 48, 48 = best score.
Time frame: Measured preoperatively 6 weeks, 3, 6, 9, 12 months postoperatively
Change in Oxford Knee Score (Area Under Curve, AUC from preop. to 12 months postop.)
Change in Oxford Knee Score from preoperatively to 24 months postoperatively measured as Area Under Curve. Oxford Knee Score ranges from 0 to 48, 48 = best score.
Time frame: Time Frame: Measured preoperatively, 6 weeks, 3, 6, 9, 12, 18 and 24 months postoperatively
Change in EuroQol five-dimensional descriptive system (EQ-5D-5L) from preop to 24 months postop.
Quality of life questionnaire
Time frame: Measured preoperatively, 6 weeks, 3, 6, 9, 12, 18 and 24 months postoperatively.
Number of participants re-revised (re-revision rate)
Number of patients re-revised due to infection and other causes within 2 years postoperatively.
Time frame: 2 year postoperatively
Number of participants dying (mortality rate)
Number of participants dying within 2 years posoperatively
Time frame: 2 years postoperatively
Number of participants readmitted (readmission rate)
Number of participant readmitted within 90 days postoperatively
Time frame: 90 days postoperatively
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Horsens Hospital
Horsens, Denmark
Næstved Hospital
Næstved, Denmark
Odense Universitets Hospital
Odense, Denmark
Vejle Hospital
Vejle, Denmark