Table 1:
Survey of Antibiotic Loaded Bone Cement Uses by Surgeons in the 2019 ALBC-RW
Question 1 |
Do you use ALBC in total joint arthroplasty/PJI in your practice?
Response: Yes = 100% |
Question 1a |
If yes, in which indication?
Response: 38% of the surgeons use it for all cemented primary arthroplasties, and 67% in primary arthroplasties with patients at risk for infection (diabetes, rheumatoid arthritis, obesity etc.). All surgeons use it for revision arthroplasty cases, particularly in periprosthetic joint infections. |
Question 2 |
What is the best anecdotal evidence you have that ALBC in total joint arthroplasty/PJI is efficacious in your patients?
Response: “none” (27%), “low reinfection rates in my own case series” (27%), “good registry data confirming the benefit of ALBC in primary arthroplasty” (7%), “conflicting data from registries” (7%), “the Canadian register did not show any difference in PJI rates”, “I do not feel that ALBC is harmful and thus I use it on a theoretical advantage” (7%), other responses (28%). |
Question 3 |
Do you think that more prospective randomized controlled trials (RCTs) data are required for ALBC for 2-stage revision surgery with ALBC?
Response: Yes = 47%; No = 29%; Undecided = 24% |
Question 4 |
Do you think that more prospective randomized controlled trials (RCTs) data are required for primary arthroplasty with ALBC?
Response: Yes = 47%; No = 29%; Undecided = 24% |