Outcome After Revisions of Infected Knee Arthroplasties

NCT ID: NCT04427943

Last Updated: 2024-12-11

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Total Enrollment

350 participants

Study Classification

OBSERVATIONAL

Study Start Date

2020-01-01

Study Completion Date

2026-11-30

Brief Summary

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A prospective multicenter cohort study on all types of revision knee arthroplasty procedures performed due to infection.

Detailed Description

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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.

Conditions

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Periprosthetic Knee Infection

Keywords

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infection knee arthroplasty surgical treatment patient reported outcome

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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RIKA cohort

patients with periprosthetic knee joint infection scheduled for revision knee arthroplasty surgery

revision surgery

Intervention Type PROCEDURE

The intervention is the planned revision surgery according to local guidelines.

Interventions

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revision surgery

The intervention is the planned revision surgery according to local guidelines.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Clinical signs of periprosthetic knee joint infection and indication for revision surgery
* Speak and understand Danish and have given informed consent

Exclusion Criteria

* Participation in "one-stage versus two-stage revisions of the infected knee arthroplasty"
Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Odense University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Martin Lindberg-Larsen

Principal investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Martin Lindberg-Larsen, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Odense University Hospital

Locations

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Aalborg University Hospital

Aalborg, , Denmark

Site Status

Bispebjerg Hospital

Copenhagen, , Denmark

Site Status

Hvidovre

Copenhagen, , Denmark

Site Status

Rigshospitalet

Copenhagen, , Denmark

Site Status

Horsens Hospital

Horsens, , Denmark

Site Status

Næstved Hospital

Næstved, , Denmark

Site Status

Odense Universitets Hospital

Odense, , Denmark

Site Status

Vejle Hospital

Vejle, , Denmark

Site Status

Countries

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Denmark

References

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Lindberg-Larsen M, Pitter FT, Voldstedlund M, Schroder HM, Bagger J. Microbiological diagnosis in revision of infected knee arthroplasties in Denmark. Infect Dis (Lond). 2017 Nov-Dec;49(11-12):824-830. doi: 10.1080/23744235.2017.1350878. Epub 2017 Jul 8.

Reference Type BACKGROUND
PMID: 28691647 (View on PubMed)

Lindberg-Larsen M, Jorgensen CC, Bagger J, Schroder HM, Kehlet H. Revision of infected knee arthroplasties in Denmark. Acta Orthop. 2016 Aug;87(4):333-8. doi: 10.3109/17453674.2016.1148453. Epub 2016 Feb 22.

Reference Type BACKGROUND
PMID: 26900908 (View on PubMed)

Lindberg-Larsen M, Odgaard A, Fredborg C, Schroder HM; One-stage vs Two-stage Collaboration Group. One-stage versus two-stage revision of the infected knee arthroplasty - a randomized multicenter clinical trial study protocol. BMC Musculoskelet Disord. 2021 Feb 12;22(1):175. doi: 10.1186/s12891-021-04044-8.

Reference Type DERIVED
PMID: 33579256 (View on PubMed)

Other Identifiers

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S-20170108/69984

Identifier Type: -

Identifier Source: org_study_id