Can I read Debridement, antibiotics and implant retention (DAIR) for the management of knee prosthetic joint infection on EtoBox?

Debridement, antibiotics and implant retention (DAIR) for the management of knee prosthetic joint infection by Vaz, Kenneth; Scarborough, Matthew; Bottomley, Nicholas; Kendrick, Ben; Taylor, Adrian; Price, Andrew; Alvand, Abtin; Jackson, William is a Medicine article available to read on EtoBox.

What is Debridement, antibiotics and implant retention (DAIR) for the management of knee prosthetic joint infection about?

## Background: While two-stage revision arthroplasty is viewed as the gold standard for the treatment of knee periprosthetic joint infection (pji) in terms of infection eradication, it is associated with significant cost along with patient morbidity and mortality. debridement, antibiotics, and implant retention (dair) is an attractive option as it has demonstrated better patient outcomes, comparable implant longevity to primary arthroplasty, and significantly reduced cost when successful. given the heterogeneity of what is defined as a dair the literature is highly variable in terms of its efficacy from the perspective of infection eradication. ## Methods: In the setting of a previously well-functioning, well-fixed arthroplasty with an acceptable soft tissue envelope and a treatable organism we report our methods for proceeding with a dair procedure, both unicompartmental and total knee. ## Results: With the above methods we have demonstrated improved patient outcomes when compared to one- or two-stage arthroplasty with lower patient morbidity. implant longevity in the setting of a successful dair is equivalent to those of a primary arthroplasty. ## Conclusions: With appropriate in

Who reads Debridement, antibiotics and implant retention (DAIR) for the management of knee prosthetic joint infection?

Author

Vaz, Kenneth; Scarborough, Matthew; Bottomley, Nicholas; Kendrick, Ben; Taylor, Adrian; Price, Andrew; Alvand, Abtin; Jackson, William

Publisher

Elsevier Science; Elsevier ; Elsevier BV (ISSN 0968-0160)

Published

2020

Language

EN

Field

Medicine (Health Sciences)