Clinical trial Recruiting at 5 sites Observational Ages 18 and up

Swiss follow-up of revision surgeries for infected joint replacements

Official title: Swiss Revision Cohort: a Nationwide, Multi-center, Prospective Periprosthetic Joint Infection Cohort Study

Run by Insel Gruppe AG, University Hospital Bern · NCT07473089 · Data updated 2026-11-12

This project follows adults who have revision surgery for infected hip, knee, shoulder, elbow or ankle replacements to see which patient factors, bacteria, surgeries, and antibiotics are linked to cure.

More Joint (Knee or Hip Replacement) trials

Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment329 (estimated)
SponsorInsel Gruppe AG, University Hospital Bern
Academic / other
Locations5 sites (Aarau and 4 other locations)
StatusRecruiting
StartedSeptember 23, 2022
Main results expectedJanuary 2030
Study endsJanuary 2030
Registry record updatedMarch 16, 2026
Trial IDNCT07473089 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults (18+) who undergo revision surgery for a suspected or confirmed periprosthetic joint infection at a participating Swiss center and who give written consent are ideal candidates.

Probably not a fit

Patients who are treated and followed up entirely outside Switzerland or whose PJI diagnosis is judged unlikely by ESBJI criteria are unlikely to benefit from this cohort.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is a national, multicenter, prospective observational cohort enrolling adults who undergo revision surgery for suspected or confirmed periprosthetic joint infection. Clinical presentation, microbiology, surgical approaches, antibiotic regimens, and functional outcomes are collected repeatedly over time to document cure rates and complications. The study leverages standardized case definitions (European Bone and Joint Infection Society criteria) and includes patients treated at participating Swiss centers, including referrals from other hospitals when prior data are available. Data will be used to describe epidemiology, clinical phenotypes, management strategies, and outcomes, and to identify factors associated with higher or lower likelihood of infection cure.

Why it matters

Potential benefit: If successful, the study could identify treatment patterns and patient factors that lead to higher cure rates, helping clinicians make better-informed care decisions.

How similar studies have gone: Previous observational work suggests that multidisciplinary team management can improve diagnostics and outcomes for PJI, but randomized trial data comparing specific interventions remain limited.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* ≥18 years of age
* Revision surgery of any large prosthetic joint (i.e., hip, knee, shoulder, ankle, or elbow) performed for a suspected or confirmed periprosthetic joint infections at any of the participating study centres. This includes patients who were previously treated at another hospital and referred to a participating study centre if data on a transferred patient from the previous institution are available, complete, and archived in the institutional patient information system, and the patient underwent at least one surgery at a participating institution.
* Obtained written informed consent
* Periprosthetic joint infections diagnosis likely or confirmed according to European Bone and Joint Infection Society criteria

Exclusion Criteria:

* Documented objection to subsequent use of personal health data
* Patient follow-up outside of Switzerland
* Diagnosis "periprosthetic joint infections unlikely" according to European Bone and Joint Infection Society criteria

Where it's running

  • Department of Infectious Diseases and Infection Prevention, Cantonal Hospital Aarau
    Aarau, Switzerland
    Recruiting
  • Department of Infectious Diseases, Bern University Hospital
    Bern, Switzerland
    Recruiting
  • Department of Medicine, HFR Fribourg-Hôpital Cantonal
    Fribourg, Switzerland
    Recruiting
  • Orthopedic Surgery Service, Geneva University Hospitals
    Geneva, Switzerland
    Recruiting
  • Department of Medicine, Lausanne University Hospital
    Lausanne, Switzerland
    Recruiting

Study contacts

  • Principal investigator: Nora Renz — Inselspital, Universitätsspital Bern
  • Study coordinator: Nora Renz
  • Email: nora.renz@insel.ch
  • Phone: +41316322111

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.