Publications by authors named "Sebastian Illiger"
The first severe acute respiratory syndrome coronavirus type 2 (SARS-CoV‑2) pandemic wave in Germany in spring 2020 challenged the largely unprepared healthcare system. A prevention concept was implemented to protect the vulnerable patient group at our orthopedic department. The patient triage during the pre-admission process included screening for symptoms and obtaining information on travel, occupation, contact and cluster (TOCC) [16].
View Article and Find Full Text PDFArticle Synopsis
- The study aims to improve the diagnosis of culture-negative periprosthetic joint infections (PJI) by testing C9 immunostaining as a new tissue biomarker, addressing the issue of misdiagnosis that leads to unnecessary surgeries.
- It involved 98 patients, where standard microbiological methods and serum tests were used, showing increased C-reactive protein (CRP) in PJI cases and significant C9 staining in infected tissue compared to non-infected.
- The C9 biomarker demonstrated a high sensitivity (89%) and good specificity (75%) for detecting PJI, although there were concerns about cross-reactivity with other inflammatory conditions like rheumatoid arthritis.
The use of antibiotic-loaded bone cement does not increase antibiotic resistance after primary total joint arthroplasty.
Knee Surg Sports Traumatol Arthrosc
September 2022
Purpose: One of the preventive strategies for periprosthetic joint infection (PJI) is the use of antibiotic-loaded bone cement (ALBC) in primary total joint arthroplasty (TJA). Even though it is widely used, there are concerns about the development of antibacterial resistance. The aim of the study was to investigate whether using ALBC in primary TJA increases the antibiotic-resistant PJI.
View Article and Find Full Text PDF[Postoperative Dissociation after Knee Replacement and its Influence on the Course of Pain].
Psychother Psychosom Med Psychol
August 2021
Article Synopsis
- - The study explores the connection between postoperative dissociation and chronic pain following total knee replacement surgery, finding that 8.3% of patients experienced dissociation, which is linked to higher levels of chronic pain a year later.
- - 201 patients completing knee replacement surgery were surveyed on knee pain and dissociation at three different time points: before surgery, 10 weeks post-op, and one year post-op.
- - The results indicate that patients with postoperative dissociation not only report more chronic pain one year after surgery, but also see lesser improvements in pain levels compared to those without dissociation, suggesting a need for strategies to manage dissociation for better postoperative outcomes.
Background: TKA is a common treatment for arthropathies of the knee; however, its results are compromised by psychosocial equivalents of pain: prior research suggests persistent pain and dysfunction after TKA not only to be linked to psychological symptoms such as depression or anxiety but also to psychodynamic determinants of borderline personality, namely borderline personality organization. Osteoarthritis (OA) and Rheumatoid arthritis (RA), the main indications for TKA, are themselves linked to personality factors and disorders, e.g.
View Article and Find Full Text PDFTotal Knee Arthroplasty (TKA) is the ultima-ratio therapy for knee-osteoarthritis (OA), which is a paradigmatic condition of chronic pain. A hierarchical organization may explain the reported covariation of pain-catastrophizing (PC) and dissociation, which is a trauma-related psychopathology. This study tests the hypotheses of an overlap and hierarchical organization of the two constructs, PC and dissociation, respectively, using the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), the Childhood Trauma Screener (CTS), a shortened version of the Dissociative Experiences Scale (FDS-20), the Brief Symptom Inventory (BSI-18), the Pain-Catastrophizing Scale (PCS), and the Tampa Scale of Kinesiophobia (TSK) in 93 participants with knee-OA and TKA.
View Article and Find Full Text PDFBackground: Type D personality (TDP) is a sign of tapered stress and compromises treatment outcomes including those of hip arthroplasty. The common dissatisfaction with total knee arthroplasty (TKA) is predicted by fear avoidance, pain catastrophizing and emotional lability, with poor quality of life (QoL) reflecting these strains. This study is the first to investigate the influence of TDP on TKA assuming (1) negative affect (NA) to be linked to fear avoidance and to increased dissatisfaction with TKA and (2) the expression of NA and social inhibition (SI) to not be stable over time.
View Article and Find Full Text PDF[A review on psychosomatic factors affecting the outcome after total knee-arthroplasty (TKA)].
Z Psychosom Med Psychother
December 2017
Unlabelled: A review on psychosomatic factors affecting the outcome after total knee-arthroplasty (TKA) Objectives: In today's ageing Western societies, arthroplasty is a common treatment for endstage osteoarthritis. Despite highly developed implants and surgery, however, this treatment does not always succeed in relieving pain and restoring joint function, i.e.
View Article and Find Full Text PDFManagement of a cluster of infections among patients with osteoarticular infections.
Antimicrob Resist Infect Control
February 2017
Background: Here we describe a cluster of hospital-acquired infections (CDI) among 26 patients with osteoarticular infections. The aim of the study was to define the source of and to evaluate the impact of general infection control measures and antibiotic stewardship on the incidence of CDI.
Methods: Epidemiological analysis included typing of strains and analysis of possible patient to patient transmission.