University of Groningen
Early prosthetic joint infection after primary total joint arthroplasty
Löwik, Claudia Aline Maria
DOI:
10.33612/diss.97641504
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Publication date: 2019
Link to publication in University of Groningen/UMCG research database
Citation for published version (APA):
Löwik, C. A. M. (2019). Early prosthetic joint infection after primary total joint arthroplasty: risk factors and treatment strategies. Rijksuniversiteit Groningen. https://doi.org/10.33612/diss.97641504
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Stellingen behorende bij het proefschrift
Early prosthetic joint infection after primary total joint
arthroplasty
Risk factors and treatment strategies
Claudia A.M. Löwik
1. The lack of a universally accepted definition of prolonged wound leakage results in limited scientific data and absence of an evidence-based guideline (this thesis).
2. There is no consensus among Dutch orthopaedic surgeons on the classification, definition, diagnosis and treatment of prolonged wound leakage (this thesis).
3. A randomized controlled trial on the treatment of prolonged wound leakage is needed and wanted but performing such a trial by randomizing patients between surgical and non-surgical treatment is challenging (this thesis). 4. General guidelines for prosthetic joint infections cannot be applied to
oncology patients, as these patients are clearly different from regular patients receiving total joint arthroplasty (this thesis).
5. Antibiotic prophylaxis should be broadened in obese patients receiving total hip arthroplasty to prevent early prosthetic joint infection caused by Enterococcus species and Gram-negative microorganisms (this thesis).
6. Debridement, antibiotics and implant retention should be performed in all patients with early prosthetic joint infection with a KLIC score lower than 3.5 points (this thesis).
7. The application of gentamicin-impregnated beads and sponges in the treatment of early prosthetic joint infection should be discouraged (this thesis).
8. Debridement, antibiotics and implant retention is a viable treatment option for patients who develop a prosthetic joint infection more than four weeks after index surgery (this thesis).
9. Een dag niet gerandomiseerd is een dag niet geleefd (Dr. B.W. Mol).
10. You have to believe in the long-term plan you have but you need the short-term goals to motivate and inspire you (Roger Federer).
