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MIKROBE Management of Infected Knee Replacements-Obtaining Best Evidence

NHS Foundation Trust logo

NHS Foundation Trust

Status

Completed

Conditions

Arthroplasty, Replacement, Knee

Treatments

Procedure: One-stage
Procedure: Two-stage

Study type

Interventional

Funder types

Other

Identifiers

Details and patient eligibility

About

Following a prosthetic knee joint infection, two types of operative approach can be undertaken to treat the infection: a one-stage or two-stage revision operation. Both approaches are widely used and are good at treating infection but we don't know which has the best long-term outcomes for patients. This trial aims to assess the feasibility of conducting a randomised controlled trial to evaluate whether treating a prosthetic knee infection with one-stage revision surgery gives a better outcome than two-stage revision surgery in terms of patient function and pain, and cost-effectiveness.

Enrollment

3 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Adults with prosthetic knee infection suitable for either one-stage or two-stage revision surgery
  • Intra-operatively, all cases must have adequate soft-tissue coverage post debridement to allow single or two stage revision surgery.
  • Case meets the International Consensus Meeting criteria for infection
  • Patients having had a Debridement, Anti-biotic and Implant Retained procedure previously or washout/biopsy only of an infected TKR are suitable

Exclusion criteria

  • Unable or unwilling to undergo either treatment
  • Lacking capacity to consent to research
  • Refusal to consent to study for any reason
  • Re-revision of prosthetic knee infection if first revision was for infection
  • Presence of tuberculosis infection

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

3 participants in 2 patient groups

One-stage
Active Comparator group
Treatment:
Procedure: One-stage
Two-stage
Active Comparator group
Treatment:
Procedure: Two-stage

Trial contacts and locations

2

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Central trial contact

Amy McAndrew, PhD

Data sourced from clinicaltrials.gov

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