Journal cover Journal topic
Journal of Bone and Joint Infection An open-access journal of the European Bone and Joint Infection Society and the MusculoSkeletal Infection Society
Journal topic

Journal metrics

h5-index value: 15
h5-index15
Volume 1, issue 1
J. Bone Joint Infect., 1, 20–24, 2016
https://doi.org/10.7150/jbji.14075
© Author(s) 2016. This work is distributed under
the Creative Commons Attribution 4.0 License.
J. Bone Joint Infect., 1, 20–24, 2016
https://doi.org/10.7150/jbji.14075
© Author(s) 2016. This work is distributed under
the Creative Commons Attribution 4.0 License.

Original full-length article 07 Apr 2016

Original full-length article | 07 Apr 2016

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

LMA de Vries1, W van der2, WC Neve1, HPW Das2, BU Ridwan3, and J Steens1 LMA de Vries et al.
  • 1Department of Orthopaedics, Westfriesgasthuis, Hoorn, the Netherlands;
  • 2Department of Orthopaedics, St Anna Hospital, Geldrop, the Netherlands;
  • 3Department of Medical Microbiology, Westfriesgasthuis, Hoorn, the Netherlands.

Keywords: Hip and knee arthroplasty, periprosthetic joint infection, debridement and irrigation, prosthesis survival.

Abstract. The aim of our study was to evaluate the effectiveness of debridement, antibiotics, irrigation and retention (DAIR) in patients who developed a periprosthetic joint infection (PJI) after primary hip or knee arthroplasty in two community hospitals in the Netherlands. We retrospectively collected data in two hospitals in the Netherlands on all episodes of PJI after primary hip (THA) and knee arthroplasty (TKA) from 1998-2012. In 109 of 8234 THA (1.32%) and 65 of 5752 TKA (1.13%) a PJI developed. DAIR was used as treatment in 84 patients after THA (77.1%) and 56 patients after TKA (86.2%). 34 Patients only received antibiotics or were immediately revised. After 1 year follow-up, prosthesis retention was achieved in 81 THA patients (74.3%) and 48 TKA patients (73.8%). Acute infections showed a better survival compared to late infections (84.0% vs 46.6% respectively; p<0.01). Furthermore, a young age was associated with an increased revision risk (p<0.01). In conclusion, debridement, antibiotics and irrigation in acute PJI may lead to retention of the prosthesis in a majority of cases. Large patient cohort studies can provide data on PJI outcome, complementing National Registries which have limited detail.

Publications Copernicus
Download
Citation