Treatment of Prosthetic Joint Infection: Established Patient Relationships May Impact Medical Decision-Making

Ryan, Sean P.; Vovos, Tyler J.; Bergen, Michael T.; Formby, Peter M.; Bolognesi, Michael P.; Seyler, Thorsten M.

doi:10.1016/j.arth.2018.09.091

The Journal of Arthroplasty

2019

DOI: 10.1016/j.arth.2018.09.091

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Treatment of Prosthetic Joint Infection: Established Patient Relationships May Impact Medical Decision-Making

Sean P. Ryan

Tyler J. Vovos

Michael T. Bergen

et al.

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2024

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Optimizing debridement and implant retention in acute periprosthetic joint infections

Fontalis,

Yasen,

Giebaly

et al. 2024

Bone Joint J

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Periprosthetic joint infection (PJI) represents a complex challenge in orthopaedic surgery associated with substantial morbidity and healthcare expenditures. The debridement, antibiotics, and implant retention (DAIR) protocol is a viable treatment, offering several advantages over exchange arthroplasty. With the evolution of treatment strategies, considerable efforts have been directed towards enhancing the efficacy of DAIR, including the development of a phased debridement protocol for acute PJI management. This article provides an in-depth analysis of DAIR, presenting the outcomes of single-stage, two-stage, and repeated DAIR procedures. It delves into the challenges faced, including patient heterogeneity, pathogen identification, variability in surgical techniques, and antibiotics selection. Moreover, critical factors that influence the decision-making process between single- and two-stage DAIR protocols are addressed, including team composition, timing of the intervention, antibiotic regimens, and both anatomical and implant-related considerations. By providing a comprehensive overview of DAIR protocols and their clinical implications, this annotation aims to elucidate the advancements, challenges, and potential future directions in the application of DAIR for PJI management. It is intended to equip clinicians with the insights required to effectively navigate the complexities of implementing DAIR strategies, thereby facilitating informed decision-making for optimizing patient outcomes.Cite this article: Bone Joint J 2024;106-B(12):1377–1384.

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Optimizing debridement and implant retention in acute periprosthetic joint infections

Fontalis,

Yasen,

Giebaly

et al. 2024

Bone Joint J

View full text Add to dashboard Cite

show abstract

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Treatment of Prosthetic Joint Infection: Established Patient Relationships May Impact Medical Decision-Making

Cited by 1 publication

References 32 publications

Optimizing debridement and implant retention in acute periprosthetic joint infections

Optimizing debridement and implant retention in acute periprosthetic joint infections

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