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
Volume 3, issue 3
J. Bone Joint Infect., 3, 108–117, 2018
https://doi.org/10.7150/jbji.24285
© Author(s) 2018. This work is distributed under
the Creative Commons Attribution 4.0 License.
J. Bone Joint Infect., 3, 108–117, 2018
https://doi.org/10.7150/jbji.24285
© Author(s) 2018. This work is distributed under
the Creative Commons Attribution 4.0 License.

Review 08 Jun 2018

Review | 08 Jun 2018

Treatment of Prosthetic Joint Infection with Debridement, Antibiotics and Irrigation with Implant Retention - a Narrative Review

Ricardo Sousa1,3 and Miguel Araújo Abreu2,3 Ricardo Sousa and Miguel Araújo Abreu
  • 1Department of Orthopaedics, Centro Hospitalar do Porto, Porto, Portugal
  • 3Grupo TrofaSaude - Hospital em Alfena, Valongo, Portugal
  • 2Department of Infectious Diseases, Centro Hospitalar do Porto, Porto, Portugal

Keywords: Prosthetic Joint Infection, Irrigation and Debridement, Implant retention, Total Knee Arthroplasty, Total Hip Arthroplasty, Complications

Abstract. Prosthetic joint infection usually requires combined medical and surgical therapy. While revision surgery is widely considered to be the gold standard surgical procedure, debridement, antibiotics and irrigation with implant retention is a very appealing alternative.

There is however great controversy regarding its real worth with success rates ranging from 0% to over 90%. A number of different patient and host related variables as well as specific aspects of surgical and medical management have been described as relevant for the final outcome.

Along this paper, the authors will provide the readers with a critical narrative review of the currently available literature while trying to provide concise and practical treatment recommendations regarding adequate patient selection criteria, proper surgical technique and optimal antibiotic therapy.

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