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Abstract

Orthoplastic Surgery & Orthopedic Care International Journal

How Successful is Debridement, Antibiotics, and Implant Retention in the Management of Early Prosthetic Joint Infection?

  • Open or CloseIulian Nusem1,2,3* and Marjoree Sehu 4,5

    1Logan Hospital, Metro South Health, Queensland, Australia

    2Queensland Tissue Bank, Queensland, Australia

    3Griffith University, Queensland, Australia

    4Peninsula Health, Victoria, Australia

    5University of Queensland, Queensland, Australia

    *Corresponding author:Iulian Nusem, Department of Orthopedics, Logan Hospital, Metro South Health, PO ox 6031, Yatala, QLD 4207, Australia

Submission: February 16, 2023; Published: March 01, 2023

DOI: 10.31031/OOIJ.2023.03.000554

ISSN: 2578-0069
Volume3 Issue1

Abstract

Debridement, Antibiotics and Implant Retention (DAIR) is a valuable option for the management of early post-operative and late acute hematogenous Periprosthetic Joint Infection (PJI), however its effective ability to eradicate infection is debated. We evaluate the current literature about how successfully PJI can be managed by DAIR. The studies on DAIR are mostly small series. In cases of infected hip arthroplasty, the overall success rate of DAIR is 72.2%. Similar success rate is reported for DAIR in cases of PJI in revision hip arthroplasty. In cases of PJI in knee arthroplasty varies between 38% and 100%.

Abbreviations:DAIR; PJI; THA; TKA; Outcome

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