Preventing Orthopedic Infections.

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Abstract

[Indexed for MEDLINE] Conflict of interest statement: Disclosure The authors have nothing to disclose. No funding source was used for this article. 9. Bone Joint J. 2024 May 1;106-B(5):425-429. doi: 10.1302/0301-620X.106B5.BJJ-2023-1381. Controversies in orthopaedic oncology. Jeys LM(1), Thorkildsen J(2), Kurisunkal V(1), Puri A(3), Ruggieri P(4), Houdek MT(5), Boyle RA(6), Ebeid W(7), Botello E(8), Morris GV(1); BOOM Consensus Scientific Committee; Laitinen MK(9); BOOM Consensus Scientific Committee. Collaborators: Abudu A(1), Ae K(10), Agarwal M(11), Ajit Singh V(12), Akiyama T(13), Albergo JI(14), Alexander J(15), Alpan B(16), Aoude A(17), Asavamongkolkul A(18), Aston W(19), Baad-Hansen T(20), Balach T(21), Benevenia J(22), Bergh P(23), Bernthal N(24), Binitie O(25), Boffano M(26), Bramer J(27), Branford White H(28), Brennan B(29), Cabrolier J(30), Calvo Haro JA(31), Campanacci DA(32), Cardoso R(33), Carey Smith R(34), Casales Fresnga N(35), Casanova JM(36), Ceballos O(30), Chan CM(37), Chung YG(38), Clara-Altamirano MA(39), Cribb G(40), Dadia S(41), Dammerer D(42), de Vaal M(43), Delgado Obando J(44), Deo S(45), Di Bella C(46), Donati DM(47), Endo M(48), Eralp L(49), Erol B(50), Evans S(1), Eward W(51), Fiorenza F(52), Freitas J(36), Funovics PT(53), Galli Serra M(54), Ghert M(55), Ghosh K(56), Gomez Mier LC(57), Gomez Vallejo J(58), Griffin A(59), Gulia A(60), Guzman M(61), Hardes J(62), Healey J(63), Hernandez A(64), Hesla A(65), Hongsaprabhas C(66), Hornicek F(67), Hosking K(68), Iwata S(69), Jagiello J(70), Johnson L(71), Johnston A(72), Joo M(73), Jutte P(74), Kapanci B(75), Khan Z(76), Kobayashi H(77), Kollender Y(78), Koob S(79), Kotrych D(80), Le Nail LR(81), Legosz P(82), Lehner B(83), Leithner A(84), Lewis V(85), Lin P(86), Linares F(87), Lozano Calderon S(88), Mahendra A(89), Mahyudin F(90), Mascard E(91), Mattei JC(92), McCullough L(93), Medellin Rincon MR(94), Morgan-Jones R(95), Moriel Garcesco DJ(96), Mottard S(97), Nakayama R(98), Narhari P(99), O'Toole G(100), Oliveira V(101), Olivier A(102), Omar M(103), Ortiz-Cruz E(104), Ozger H(105), Ozkan K(106), Palmerini E(107), Papagelopoulos P(108), Parry M(1), Patton S(109), Petersen MM(110), Powell G(46), Puhaindran M(37), Raja A(111), Rajasekaran RB(112), Repsa L(113), Ropars M(114), Sambri A(115), Schubert T(116), Shehadeh A(117), Siegel G(118), Somerville S(119), Spiguel A(120), Stevenson J(1), Sys G(121), Temple T(67), Traub F(122), Tsuchiya H(123), Valencia J(124), Van de Sande M(125), Vaz G(126), Velez Villa R(127), Vyrva O(128), Wafa H(129), Wan Faisham Numan WI(130), Wang E(131), Warnock D(132), Werier J(133), Wong KC(134), Yamamoto N(123), Zhaoming Y(86), Zainul Abidin S(135), Zamora T(136), Zumarraga JP(137), Abou-Nouar G(138), Gebert C(139), Randall RL(140). Author information: (1)Royal Orthopaedic Hospital, Birmingham, UK. (2)Division of Orthopaedic Surgery, Oslo University Hospital, Oslo, Norway. (3)Homi Bhabha National Institute, Tata Memorial Hospital, Mumbai, India. (4)Department of Orthopedics and Orthopedic Oncology, University of Padova, Padova, Italy. (5)Department of Orthopaedic Surgery, Mayo Clinic, Rochester, Minnesota, USA. (6)Royal Prince Alfred Hospital, Sydney, Australia. (7)Orthopedic Surgery Department, Cairo University, Cairo, Egypt. (8)Pontificia Universidad Catolica de Chile, Santiago, Chile. (9)Department of Orthopaedics and Traumatology, Helsinki University Central Hospital, University of Helsinki, Helsinki, Finland. (10)Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo, Japan. (11)Nanavati Max Superspeciality Hospital, Mumbai, India. (12)University Hospital Kuala Lumpur, Kuala Lumpur, Malaysia. (13)Saitama Medical Center, JIchi Medical University, Saitama, Japan. (14)Hospital Italiano de Buenos Aires, Buenos Aires, Argentina. (15)The James Cancer Hospital, Columbus, Ohio, USA. (16)Acibadem Maslak Hospital, Istanbul, Turkey. (17)MicGill University, Montreal, Canada. (18)Faculty of Medicine Siriraj Hospital, Bangkok, Thailand. (19)Royal National Orthopaedic Hospital, London, UK. (20)Aarhus University Hospital, Aarhus, Denmark. (21)University of Chicago, Chicago, Illinois, USA. (22)Rutgers New Jersey Medical School, Summit, New Jersey, USA. (23)Sahlgren University Hospital, Gothenburg, Sweden. (24)Department of Orthopaedic Surgery, University of California, Los Angeles, Los Angeles, California, USA. (25)Moffitt Cancer Center, Tampa, Florida, USA. (26)Orthopaedic Oncology Unit, AOU Citta' della Salute e della Scienza, Torino, Italy. (27)Amsterdam University Medical Centre, Amsterdam, Netherlands. (28)Oxford Sarcoma Service, Oxford, UK. (29)Royal Manchester Childrens Hospital, Manchester, UK. (30)Instituto Traumatologico Chile, Santiago, Chile. (31)Hospital General Universitario Gregorio Marano, Madrid, Spain. (32)Careggi University Hospital, Firenze, Italy. (33)Instituto Nacional de Traumatologia e Ortopedia, Rio de Janeiro, Brazil. (34)Sir Charles Gairdner Hospital, Perth, Australia. (35)National Orthopaedic and Trauma Institute Republic University Montevideo Montevideo, Montevideo, Uruguay. (36)Centro Hospitalar Universitário de Coimbra, EP, Coimbra, Portugal. (37)National University Hospital, Singapore, Singapore. (38)Seoul St. Mary's Hospital/The Catholic University of Korea, Seoul, South Korea. (39)National Cancer Institute of Mexico, Mexico City, Mexico. (40)Robert Jones & Agnes Hunt, Oswestry, UK. (41)Tel Aviv Medical Center, Tel Aviv, Israel. (42)University Hospital Krems, Krems, Germany. (43)University Hospital Münster, Münster, Germany. (44)Clínica Alemana, Santiago, Chile. (45)Middlemore Hospital, Auckland, New Zealand. (46)St Vincent's Hospital, Melbourne, Australia. (47)Rizzoli Orthopaedic Institute, Bologna, Italy. (48)Kyushu University, Fukuoka, Japan. (49)Complex Extremity Reconstruction Unit, Acibadem Hospital Group, Istanbul, Turkey. (50)Marmara University Orthopedics and Traumatology, Istanbul, Turkey. (51)Duke University, Durham, North Carolina, USA. (52)Dupuytren Teaching Hospital, Limoges, France. (53)Medical University of Vienna, Vienna, Australia. (54)Hospital Universitario Austral / Orthopedic Oncology Unit Buenos, Aires, Argentina. (55)University of Maryland Canada, Hamilton, Canada. (56)Newcastle Hospitals NHS Foundation Trust, Newcastle, UK. (57)Instituto Nacional de Cancerología, Mexico City, Mexico. (58)Hospital Clinico Lozano Blesa, Zaragoza, Spain. (59)Mount Sinai Hospital, Toronto, Canada. (60)Homi Bhabha Cancer Hospital & Research Centre, Vishakhapatnam, India. (61)University of Sydney, Sydney, Australia. (62)University of Essen, Essen, Germany. (63)Memorial Sloan Kettering Cancer Center, New York, New York, USA. (64)Tec Salud, Monterrey, Mexico. (65)Karolinska University Hospital, Stockholm, Sweden. (66)Chulalongkorn University, Bangkok, Thailand. (67)University of Miami, Miami, Florida, USA. (68)Life Orthopaedic Hospital / Groote Schuur, Cape Town, South Africa. (69)National Cancer Hospital Japan, Tokyo, Japan. (70)Royal Adelaide Hospital, Adelaide, Australia. (71)South Australian Bone and Soft Tissue Tumour Unit, Flinders Medical Centre, Adelaide, Australia. (72)Auckland City Hospital, Auckland, New Zealand. (73)The Catholic University of Korea, Seoul, South Korea. (74)University Medical Center Groningen, Groningen, Netherlands. (75)Institut Jules Bordet, Brussels, Belgium. (76)Rehman Medical Institute and Medical College, Peshawar, Pakistan. (77)The University of Tokyo Hospital, Tokyo, Japan. (78)Barzelai Medical Center, Ashkelon, Israel. (79)University of Bonn, Bonn, Germany. (80)Pomeranian Medical University of Szczecin, Szczecin, Poland. (81)University Hospital of Tours, Tours, France. (82)Warszawski Uniwersytet Medyczny, Warsaw, Poland. (83)Orthopedic University Hospital Heidelberg, Heidelberg, Germany. (84)Medical University of Graz, Graz, Austria. (85)MD Anderson Cancer Center, Houston, Texas, USA. (86)The Second Affiliated Hospital Zhejiang University School of Medicine, Zhejiang, China. (87)Pontificia Universidad Javeriana, Bogota, Colombia. (88)Massachusetts General Hospital, Boston, Massachusetts, USA. (89)Glasgow Royal Infirmary, Glasgow, UK. (90)Airlangga University, Surabaya, Indonesia. (91)Hospital Necker, Paris, France. (92)Hôpital Européen Marseille, Marseille, France. (93)NHS Grampian, Aberdeen, UK. (94)Fundación CTIC Luis Carlos Sarmiento Angulo / Sarcoma Unit, Bogota, Colombia. (95)Cardiff and Vale Orthopaedic Centre, University Hospital Llandough, Cardiff, UK. (96)Hospital Regional Universitario de Malaga, Malaga, Spain. (97)Maisonneuve Rosemont Hospital, Université de Montréal, Montreal, Canada. (98)Keio University School of Medicine, Tokyo, Japan. (99)Penang General Hospital, George Town, Malaysia. (100)St. Vincent's University Hospital Dublin, Dublin, Ireland. (101)Centro Hospitalar Universitário de Santo António, Porto, Portugal. (102)Vergelegen Mediclinic, Cape Town, South Africa. (103)Hannover Medical School, Hannover, Germany. (104)Hospital Universitario La Paz, Madrid, Spain. (105)Istanbul University Medical Faculty, Istanbul, Turkey. (106)Istanbul Medeniyet University, Istanbul, Turkey. (107)IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy. (108)Attikon Hospital, Athens, Greece. (109)Edinburgh Royal Infirmary, Edinburgh, UK. (110)Rigshospitalet/University of Copenhagen/Department of Orthopedics, Copenhagen, Denmark. (111)Cancer Institute (WIA), Chennai, India. (112)Ganga Medical Centre & Hospitals, Coimbatore, India. (113)Riga Stradins University, Riga, Latvia. (114)Rennes University Hospital, Rennes, France. (115)IRCCS Azienda Ospedaliera Universitaria di Bologna, Bologna, Italy. (116)Cliniques Universitaires Saint-Luc, Brussels, Belgium. (117)Orthopaedic Unit, King Hussein Cancer Center, Amman, Jordan. (118)Michigan Medicine / University of Michigan, Ann Arbor, Michigan, USA. (119)The Wesley Hospital, Brisbane, Australia. (120)University of Florida, Gainesville, Florida, USA. (121)Ghent University Hospital, Ghent, Belgium. (122)University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany. (123)Kanazawa University, Kanazawa, Japan. (124)Centro Oncológico Antioquia, Antioquia, Colombia. (125)Leiden University Medical Centre, Leiden, Netherlands. (126)Centre Léon Berard, Lyon, France. (127)Hospital Universitari Vall D'Hebrón, Barcelona, Spain. (128)Sytenko Institute of Spine and Joint Pathology, Kharkiv, Ukraine. (129)Leuven University Hospitals, Leuven, Belgium. (130)Universiti Sains Malaysia, Penang, Malaysia. (131)University of the Philippines Musculoskeletal Tumor Unit, Manila, Phillipines. (132)Musgrave Park Hospital, Belfast, UK. (133)The Ottawa Hospital, Ottawa, Canada. (134)Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, Hong Kong. (135)Singapore General Hospital, Singapore, Singapore. (136)Pontificia Universidad Católica de Chile, Santiago, Chile. (137)Hospital Metropolitano / Departamento de Ortopedia y Traumatología, Quito, Ecuador. (138)Jordanian Medical Services, Amman, Jordan. (139)Klinik Volmarstein, Volmarstein, Germany. (140)University of California, Sacramento, California, USA. Chondrosarcoma is the second most common surgically treated primary bone sarcoma. Despite a large number of scientific papers in the literature, there is still significant controversy about diagnostics, treatment of the primary tumour, subtypes, and complications. Therefore, consensus on its day-to-day treatment decisions is needed. In January 2024, the Birmingham Orthopaedic Oncology Meeting (BOOM) attempted to gain global consensus from 300 delegates from over 50 countries. The meeting focused on these critical areas and aimed to generate consensus statements based on evidence amalgamation and expert opinion from diverse geographical regions. In parallel, periprosthetic joint infection (PJI) in oncological reconstructions poses unique challenges due to factors such as adjuvant treatments, large exposures, and the complexity of surgery. The meeting debated two-stage revisions, antibiotic prophylaxis, managing acute PJI in patients undergoing chemotherapy, and defining the best strategies for wound management and allograft reconstruction. The objectives of the meeting extended beyond resolving immediate controversies. It sought to foster global collaboration among specialists attending the meeting, and to encourage future research projects to address unsolved dilemmas. By highlighting areas of disagreement and promoting collaborative research endeavours, this initiative aims to enhance treatment standards and potentially improve outcomes for patients globally. This paper sets out some of the controversies and questions that were debated in the meeting. © 2024 Jeys et al. DOI: 10.1302/0301-620X.106B5.BJJ-2023-1381