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Cited by 481

The DOI matches its Crossref record; 62 of the 62 references it cites were found in a registry or an index.

Clinical presentation and treatment of orthopaedic implant‐associated infection

Zimmerli, W.·2014·Journal of Internal Medicine

Abstract

Orthopaedic implants are highly susceptible to infection. The aims of treatment of infection associated with internal fixation devices are fracture consolidation and prevention of chronic osteomyelitis. Complete biofilm eradication is not the primary goal, as remaining adherent microorganisms can be removed with the device after fracture consolidation. By contrast, in periprosthetic joint infection (PJI), biofilm elimination is required. Surgical treatment of PJI includes debridement with retention, one‐ or two‐stage exchange and removal without reimplantation. In addition, prolonged antibiotic treatment, preferably with an agent that is effective against biofilm bacteria, is required. Rifampicin is an example of an antibiotic with these properties against staphylococci. However, to avoid the emergence of resistance, rifampicin must always be combined with another antimicrobial agent. With this novel treatment approach, orthopaedic implant‐associated infection is likely to be eradicated in up to 80–90% of patients. Because most antibiotics have a limited effect against biofilm infections, novel prophylactic and therapeutic options are needed. Surface coating with antimicrobial peptides that reduce bacterial attachment and biofilm formation can potentially prevent implant‐associated infection. In addition, quorum‐sensing inhibitors are a novel therapeutic option against biofilm infections.

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Metadata

Authors
Zimmerli, W.
Venue
Journal of Internal Medicine
Publisher
Wiley
Published
2014-07-14
Volume
276
Issue
2
Pages
111-119
ISSN
  • 0954-6820 (ISSN-L)
  • 1365-2796
OpenAlex
W2000238227
Cited by
481
References
62
FWCI
23.60
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Clinical presentation and treatment of orthopaedic implant‐associated infection. https://app.cochat.ai/papers/10.1111/joim.12233
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Zimmerli, W. (2014). Clinical presentation and treatment of orthopaedic implant‐associated infection. Journal of Internal Medicine. https://doi.org/10.1111/joim.12233

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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