Joint reconstruction and infection

We focus on tackling complex challenges in joint replacement鈥攑articularly when implants fail due to infection. Our mission is to better understand implant-related infections and to develop new strategies to restore bone and secure implants.

While joint replacement is generally a highly successful procedure, our academic practice often deals with difficult cases where implants fail, for example due to severe bone loss or implant-associated infection. Implant infection is a devastating complication, frequently accompanied by large bone defects. Treatment usually requires removal of the infected material and placement of a revision implant. Because such implants are often not available off the shelf, we integrate advanced 3D printing techniques to improve surgical outcomes.

Figure: Rat experiment with a biofilm seeking antibody and a radioactive tracer to visualize the location of the biofilm infection (in orange/red)

In collaboration with medical microbiology, we conduct both in vitro and in vivo studies to investigate bacterial biofilm growth on implants. We are also developing minimally invasive and non-surgical treatment approaches. One strategy involves novel implant coatings that release bactericidal compounds locally to prevent infection (collaboration with Research Group on 鈥淒esigner Biomaterials鈥). Another approach uses antibodies or aptamers that specifically target biofilm-forming bacteria. We are currently exploring ways to attach radioactive elements to these infection-seeking antibodies to eradicate established infections, or use antibodies or aptamers to directly interfere with bacteria and improve eradication efficacy of the immune system.

Our group brings together clinical innovation and fundamental science to advance the treatment of infected and failed joint implants. By combining surgical technologies such as 3D printing with microbiological research and novel therapeutic strategies, we aim to create better options for both prevention and treatment of severe complications in joint reconstruction.

van der Wal
Dr. Bart van der Wal

Contact for internships

Dr. Bart van der Wal: B.C.H.vanderWal@umcutrecht.nl

People

NamePositionContact
Bart van der WalPrincipal Investigator, Orthopedic surgeonB.C.H.vanderWal@umcutrecht.nl
Harrie WeinansCo-Principal Invesitgator 
Huub de VisserOrthopedic surgeon 
Saber YavariAssociate professor 

Azin Khodaei

Assistent professor 

Jaqueline Rios

Assistent professor 

Ruben Nurmohamed

PhD Candidate 

Fred Hooning van Duyvenbode

PhD Candidate 
Zijian YePhD Candidate 
Pardis KeikhosravaniPhD candidate 
Elham BagherzadehPostdoctoral guest researcher