Debridement, antimicrobial therapy, and implant retention (DAIR)  as curative strategy for acute periprosthetic hip and knee infections: a position paper of the European Bone&thinsp;&amp;&thinsp;Joint Infection Society (EBJIS)

Sigmund, Irene K.; Ferry, Tristan; Sousa, Ricardo; Soriano, Alex; Metsemakers, Willem J.; Clauss, Martin; Trebse, Rihard; Wouthuyzen-Bakker, Marjan

doi:https://doi.org/10.5194/jbji-10-101-2025

Articles | Volume 10, issue 2

https://doi.org/10.5194/jbji-10-101-2025

© Author(s) 2025. This work is distributed under
the Creative Commons Attribution 4.0 License.

https://doi.org/10.5194/jbji-10-101-2025

© Author(s) 2025. This work is distributed under
the Creative Commons Attribution 4.0 License.

Articles | Volume 10, issue 2

Guidelines/recommendations/consensus paper

|

01 Apr 2025

Guidelines/recommendations/consensus paper |

| 01 Apr 2025

Debridement, antimicrobial therapy, and implant retention (DAIR) as curative strategy for acute periprosthetic hip and knee infections: a position paper of the European Bone & Joint Infection Society (EBJIS)

Irene K. Sigmund, Tristan Ferry, Ricardo Sousa, Alex Soriano, Willem J. Metsemakers, Martin Clauss, Rihard Trebse, and Marjan Wouthuyzen-Bakker

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Latest update: 01 Apr 2025

Short summary

In this paper, we discuss the most relevant factors influencing the outcome and define indications, contraindications, and risk factors of a DAIR procedure based on the currently available literature. Furthermore, we discuss the surgical technique in combination with systemic antimicrobial therapy in patients undergoing a DAIR procedure.