Multiple Irrigation and Debridements for Periprosthetic Joint Infections: Facing a Necessity or Just Prolonging the Inevitable? Academic Article uri icon

Overview

abstract

  • Irrigation and debridement (I&D) may be a viable option in selected cases of periprosthetic joint infections (PJI). Our aim was to investigate the role of multiple I&Ds. Among 141 patients with PJI treated with I&D in our institution, 19 were subjected to additional procedures. Their clinical characteristics were retrospectively reviewed and compared to the remaining patients treated with a single I&D. The probability of treatment failure (removal of implants) was not significantly different among the two groups. The interval between serial I&Ds was a significant factor determining outcomes. Patients treated with multiple I&Ds had a significantly higher prevalence of peripheral vascular disease. The decision to proceed with repeat of I&D should be made with caution.

publication date

  • July 2, 2015

Research

keywords

  • Arthroplasty, Replacement, Hip
  • Arthroplasty, Replacement, Knee
  • Debridement
  • Prosthesis-Related Infections
  • Therapeutic Irrigation

Identity

Scopus Document Identifier

  • 84953837394

Digital Object Identifier (DOI)

  • 10.1016/j.arth.2015.06.051

PubMed ID

  • 26216228

Additional Document Info

volume

  • 31

issue

  • 1