scholarly journals Debridement, Antibiotics, and Implant Retention with the Direct Anterior Approach for Acute Periprosthetic Joint Infection Following Primary THA

2020 ◽  
Vol 5 (2) ◽  
pp. e0062
Author(s):  
R.L. Deijkers ◽  
E.P.M. van Elzakker ◽  
B.G. Pijls
Keyword(s):  
Periprosthetic Joint Infection ◽  
Anterior Approach ◽  
Joint Infection ◽  
Direct Anterior Approach ◽  
Implant Retention

The direct anterior approach: treating periprosthetic joint infection of the hip using two-stage revision arthroplasty

2019 ◽  
Vol 140 (2) ◽  
pp. 255-262 ◽  
Author(s):  
Martin Thaler ◽  
Ricarda Lechner ◽  
Dietmar Dammerer ◽  
Hermann Leitner ◽  
Ismail Khosravi ◽  
...  
Keyword(s):  
Periprosthetic Joint Infection ◽  
Anterior Approach ◽  
Joint Infection ◽  
Revision Arthroplasty ◽  
Direct Anterior Approach ◽  
Two Stage

Direct Anterior Approach to the Hip Does Not Increase the Risk for Subsequent Periprosthetic Joint Infection

2021 ◽  
Author(s):  
Noam Shohat ◽  
Karan Goswami ◽  
Samuel Clarkson ◽  
Emanuele Chisari ◽  
Leigham Breckenridge ◽  
...  
Keyword(s):  
Periprosthetic Joint Infection ◽  
Anterior Approach ◽  
Joint Infection ◽  
Direct Anterior Approach

scholarly journals Debridement, Antibiotics, and Implant Retention Is a Viable Treatment Option for Early Periprosthetic Joint Infection Presenting More Than 4 Weeks After Index Arthroplasty

2019 ◽  
Vol 71 (3) ◽  
pp. 630-636 ◽  
Author(s):  
Claudia A M Löwik ◽  
Javad Parvizi ◽  
Paul C Jutte ◽  
Wierd P Zijlstra ◽  
Bas A S Knobben ◽  
...  
Keyword(s):  
Treatment Failure ◽  
Periprosthetic Joint Infection ◽  
Joint Infection ◽  
Viable Option ◽  
Time Intervals ◽  
Implant Retention ◽  
Time Point ◽  
Viable Treatment

Abstract Background The success of debridement, antibiotics, and implant retention (DAIR) in early periprosthetic joint infection (PJI) largely depends on the presence of a mature biofilm. At what time point DAIR should be disrecommended is unknown. This multicenter study evaluated the outcome of DAIR in relation to the time after index arthroplasty. Methods We retrospectively evaluated PJIs occurring within 90 days after surgery and treated with DAIR. Patients with bacteremia, arthroscopic debridements, and a follow-up <1 year were excluded. Treatment failure was defined as (1) any further surgical procedure related to infection; (2) PJI-related death; or (3) use of long-term suppressive antibiotics. Results We included 769 patients. Treatment failure occurred in 294 patients (38%) and was similar between time intervals from index arthroplasty to DAIR: the failure rate for Week 1–2 was 42% (95/226), the rate for Week 3–4 was 38% (143/378), the rate for Week 5–6 was 29% (29/100), and the rate for Week 7–12 was 42% (27/65). An exchange of modular components was performed to a lesser extent in the early post-surgical course compared with the late course (41% vs 63%, respectively; P < .001). The causative microorganisms, comorbidities, and durations of symptoms were comparable between time intervals. Conclusions DAIR is a viable option in patients with early PJI presenting more than 4 weeks after index surgery, as long as DAIR is performed within at least 1 week after the onset of symptoms and modular components can be exchanged.

Debridement, Antibiotics and Implant Retention (DAIR) in Periprosthetic Joint Infection (PJI): what predicts success or failure?

2021 ◽  
Author(s):  
Rui Xiang Toh ◽  
Zhen Ning Yeo ◽  
Ming Han Lincoln Liow ◽  
Jerry Yongqiang Chen ◽  
Seng-Jin Yeo ◽  
...  
Keyword(s):  
Periprosthetic Joint Infection ◽  
Joint Infection ◽  
Implant Retention

scholarly journals Bacteria drug resistance profile affects knee and hip periprosthetic joint infection outcome with debridement, antibiotics and implant retention

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Bruno Alves Rudelli ◽  
Pedro Nogueira Giglio ◽  
Vladimir Cordeiro de Carvalho ◽  
José Ricardo Pécora ◽  
Henrique Melo Campos Gurgel ◽  
...  
Keyword(s):  
Drug Resistance ◽  
Periprosthetic Joint Infection ◽  
Joint Infection ◽  
Resistance Profile ◽  
Drug Resistance Profile ◽  
Implant Retention

scholarly journals Debridement, Antibiotics, and Implant Retention for Acute Periprosthetic Joint Infection

2020 ◽  
Vol 12 (2) ◽  
pp. 463-470 ◽  
Author(s):  
Chao‐fan Zhang ◽  
Long He ◽  
Xin‐yu Fang ◽  
Zi‐da Huang ◽  
Guo‐chang Bai ◽  
...  
Keyword(s):  
Periprosthetic Joint Infection ◽  
Joint Infection ◽  
Implant Retention

Debridement, Antibiotics and Implant Retention in Early Periprosthetic Joint Infection

2016 ◽  
Vol 26 (2) ◽  
pp. 138-143 ◽  
Author(s):  
Magnus Bergkvist ◽  
Sebastian S. Mukka ◽  
Lars Johansson ◽  
Torbjörn E. Ahl ◽  
Arkan S. Sayed-Noor ◽  
...  
Keyword(s):  
Periprosthetic Joint Infection ◽  
Joint Infection ◽  
Implant Retention

scholarly journals The Not-So-Good Prognosis of Streptococcal Periprosthetic Joint Infection Managed by Implant Retention: The Results of a Large Multicenter Study

2017 ◽  
Vol 64 (12) ◽  
pp. 1742-1752 ◽  
Author(s):  
Jaime Lora-Tamayo ◽  
Éric Senneville ◽  
Alba Ribera ◽  
Louis Bernard ◽  
Michel Dupon ◽  
...  
Keyword(s):  
Multicenter Study ◽  
Periprosthetic Joint Infection ◽  
Joint Infection ◽  
Good Prognosis ◽  
Large Multicenter Study ◽  
Implant Retention
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