Acta Scientific Orthopaedics (ISSN: 2581-8635)

Short Communication Volume 7 Issue 6

Diego Edwards Silva1* and Rafael Calvo Rodríguez2

Diego Edwards Silva1* and Rafael Calvo Rodríguez2

1Departamento de Traumatología, Cirugía de Rodilla, Clínica Alemana de Santiago, Universidad del Desarrollo, Santiago, Chile
2Departamento de Traumatología, Cirugía de Rodilla, Hospital La Florida, Santiago, Chile

*Corresponding Author: Diego Edwards Silva, Departamento de Traumatología, Cirugía de Rodilla, Clínica Alemana de Santiago, Universidad del Desarrollo, Santiago, Chile.

Received: April 18, 2024; Published: May 10, 2024

Abstract

The incidence of Periprosthetic joint infections (PJI) ranges from 1-to %2, [1,2]. and they represent one of the major causes of prosthesis revision over time [3], being among the most complex complications in joint surgery. They are known for being devastating for both patients and their doctors, generating an explosive increase in healthcare costs, a severe impact on the quality of life, and increased morbidity and mortality.

References

  1. Karachalios T and Komnos GA. “Management strategies for prosthetic joint infection: long-term infection control rates, overall survival rates, functional and quality of life outcomes”. EFORT Open Reviews 09 (2021): 727-734.
  2. Ong KL., et al. “Prosthetic joint infection risk after total hip arthroplasty in the Medicare population”. The Journal of Arthroplasty 6 (2009): 105-109.
  3. American Joint Replacement Registry (AJRR). “Annual Report. Rosemont: American Academy of Orthopaedic Surgeons” (2021).
  4. Kurtz SM., et al. “Are we winning or losing the battle with periprosthetic joint infection? Trends in periprosthetic joint infection and mortality risk for the Medicare population”. The Journal of Arthroplasty 10 (2018): 3238-3245.
  5. Kurtz SM., et al. “Economic burden of periprosthetic joint infection in the United States”. The Journal of Arthroplasty8 (2012): 61-65.e1
  6. Deckey DG., et al. “Principles of mechanical and chemical debridement with implant retention”. The Journal of Arthroplasty1 (2023): 16.
  7. Ries MD and Nunley RM. “Revision total knee arthroplasty, 2nd edition”. Springer International Publishing; Cham.
  8. Okafor CE., et al. “One-stage revision versus debridement, antibiotics, and implant retention (DAIR) for acute prosthetic knee infection: an exploratory cohort study”. Archives of Orthopaedic and Trauma Surgery 09 (2023): 5787-5792.
  9. Tsukayama DT., et al. “Infection after total hip arthroplasty. A study of the treatment of one hundred and six infections”. The Journal of Bone and Joint Surgery. American Volume 04 (1996): 512-523.
  10. Zimmerli W and Ochsner PE. “Management of infection associated with prosthetic joints”. Infection 02 (2003): 99-108.
  11. Qasim SN., et al. “The DAIR (debridement, antibiotics and implant retention) procedure for infected total knee replacement - a literature review”. SICOT-J 3 (2017):
  12. Ariza J., et al. “Spanish Network for the Study of Infectious Diseases and the Sociedad Española de Enfermedades Infecciosas, Microbiología Clínica (SEIMC). “Executive summary of management of prosthetic joint infections. Clinical practice guidelines by the Spanish Society of Infectious Diseases and Clinical Microbiology (SEIMC)”. Enfermedades Infecciosas y Microbiología Clínica 03 (2017): 189-195.
  13. de Vries L., et al. “The Effectiveness of Debridement, Antibiotics and Irrigation for Periprosthetic Joint Infections after Primary Hip and Knee Arthroplasty. A 15 Years Retrospective Study in Two Community Hospitals in the Netherlands”. Journal of Bone and Joint Infection 1 (2016): 20-24.
  14. Van der Ende B., et al. “Timing of debridement, antibiotics, and implant retention (DAIR) for early post-surgical hip and knee prosthetic joint infection (PJI) does not affect 1-year re-revision rates: data from the Dutch Arthroplasty Register”. Journal of Bone and Joint Infection 08 (2021): 329-336.
  15. McQuivey KS., et al. “The Double DAIR: A 2-Stage Debridement with Prosthesis-Retention Protocol for Acute Periprosthetic Joint Infections”. JBJS Essential Surgical Techniques 01 (2021): e19.00071.
  16. Chung AS., et al. “Two-Stage Debridement with Prosthesis Retention for Acute Periprosthetic Joint Infections”. The Journal of Arthroplasty 06 (2019): 1207-1213.
  17. Antonios JK., et al. “Cost-effectiveness of Single vs Double Debridement and Implant Retention for Acute Periprosthetic Joint Infections in Total Knee Arthroplasty: A Markov Model”. Arthroplasty Today 11 (2021): 187-195.

Citation

Citation: Diego Edwards Silva and Rafael Calvo Rodríguez. “Treatment in Total Knee Arthroplasty infection. Can we dare to DAIR?".Acta Scientific Orthopaedics 7.6 (2024): 12-14.

Copyright

Copyright: © 2024 Diego Edwards Silva and Rafael Calvo Rodríguez. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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