Journal of Bone and Joint Infection
Journal of Bone and Joint Infection
JBJI
Articles | Volume 11, issue 4
Articles | Volume 11, issue 4
https://doi.org/10.5194/jbji-11-523-2026
© Author(s) 2026. This work is distributed under
the Creative Commons Attribution 4.0 License.
https://doi.org/10.5194/jbji-11-523-2026
© Author(s) 2026. This work is distributed under
the Creative Commons Attribution 4.0 License.
Articles | Volume 11, issue 4
Original full-length article
 | 
24 Aug 2026
Original full-length article |  | 24 Aug 2026

Socioeconomic burden of septic re-revision surgeries for periprosthetic joint infections in Europe – a comprehensive analysis of re-revision costs

Dominik Szymski, Susanne Baertl, Nike Walter, Markus Rupp, Katja Hierl, and Volker Alt

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Short summary
A health-economic study estimating the cost of septic re-revision surgery for periprosthetic joint infections (PJIs) across 30 European countries. Using 2023 Eurostat data plus a 13-country reimbursement survey, the study estimates 22 794 PJIs and 8629 septic re-revisions in 2023, costing ~€123.6 million (95% CI €102–156 million). Two-stage exchanges drive 82.8% of costs. Cutting PJI incidence by 25% could save €27.9 million/year; shifting half of two-stage cases to one-stage a further €22.6 million.
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