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Record W3214358911 · doi:10.1002/9781119413936.ch31

The Infected Total Hip Arthroplasty

2021· other· en· W3214358911 on OpenAlexaff
Sebastián León, Xin Y. Mei, Paul R.T. Kuzyk

Bibliographic record

VenueEvidence-Based Orthopedics · 2021
Typeother
Languageen
FieldMedicine
TopicOrthopedic Infections and Treatments
Canadian institutionsMount Sinai HospitalUniversity of Toronto
Fundersnot available
KeywordsPeriprostheticMedicineArthroplastyStage (stratigraphy)SurgeryErythrocyte sedimentation rateTotal hip arthroplastyHip arthroplastyAntibiotics

Abstract

fetched live from OpenAlex

This chapter presents a case scenario of a 59-year-old female who is one year out from revision of a left total hip arthroplasty (THA) due to recurrent dislocation. Periprosthetic joint infection (PJI) affects 1-2% of patients after primary THA, and is responsible for 12.8% of revision THAs. Preliminary studies have shown alpha defensin to be highly sensitive and specific in diagnosing PJI, with superior performance compared to erythrocyte sedimentation rate and elevated C-reactive protein. Two-stage revision is widely accepted as the standard of care in North America for treating late chronic PJI, while one-stage revision remains a frequent option among European surgeons. The goal of any revision for PJI is eradication of infection. At short-term follow-up, prophylactic oral antibiotic therapy after second-stage reimplantation may improve infection-free survival. The chapter also provides recommendations for implementing evidence-based practice in the clinical setting.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.001
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow), Insufficient payload (model declined to judge)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Other · Consensus signal: Other
Teacher disagreement score0.284
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.001
Meta-epidemiology (narrow)0.0010.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.001
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0010.001
Insufficient payload (model declined to judge)0.0100.001

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.030
GPT teacher head0.295
Teacher spread0.265 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designNot applicable
Domainnot available
GenreOther

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations4
Published2021
Admission routes1
Has abstractyes

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