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Journal of Bone and Joint Infection An open-access journal of the European Bone and Joint Infection Society and the MusculoSkeletal Infection Society
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Infection after total hip (THA) or total knee (TKA) arthroplasty can be treated by a so-called DAIR procedure within 4 weeks after surgery. However, could a DAIR be successful up to 3 months? In the Dutch Arthroplasty Register we found a re-revision rate of 8% within 4 weeks after THA and 9% re-revisions between 4 and 12 weeks. After TKA we found 9% re-revisions within 4 weeks and 17% failures after 4–12 weeks. We show no difference for DAIRs performed within 4 weeks or between 4 and 12 weeks.
JBJI | Articles | Volume 6, issue 8
J. Bone Joint Infect., 6, 329–336, 2021
https://doi.org/10.5194/jbji-6-329-2021
J. Bone Joint Infect., 6, 329–336, 2021
https://doi.org/10.5194/jbji-6-329-2021

Original full-length article 03 Sep 2021

Original full-length article | 03 Sep 2021

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

Barry van der Ende et al.

Cited articles

Anagnostakos, K. and Schmitt, C.: Can periprosthetic hip joint infections be successfully managed by debridement and prosthesis retention?, World J. Orthop., 5, 218–224, https://doi.org/10.5312/wjo.v5.i3.218, 2014. 
de Vries, L., der, W. V., Neve, W., Das, H., Ridwan, B., and Steens, J.: 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, J. Bone Joint Infect., 1, 20–24, https://doi.org/10.7150/jbji.14075, 2016. 
Geurts, J. A., Janssen, D. M., Kessels, A. G., and Walenkamp, G. H.: Good results in postoperative and hematogenous deep infections of 89 stable total hip and knee replacements with retention of prosthesis and local antibiotics, Acta Orthop., 84, 509–516, https://doi.org/10.3109/17453674.2013.858288, 2013. 
Izakovicova, P., Borens, O., and Trampuz, A.: Periprosthetic joint infection: current concepts and outlook, EFORT Open Rev., 4, 482–494, https://doi.org/10.1302/2058-5241.4.180092, 2019. 
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Short summary
Infection after total hip (THA) or total knee (TKA) arthroplasty can be treated by a so-called DAIR procedure within 4 weeks after surgery. However, could a DAIR be successful up to 3 months? In the Dutch Arthroplasty Register we found a re-revision rate of 8% within 4 weeks after THA and 9% re-revisions between 4 and 12 weeks. After TKA we found 9% re-revisions within 4 weeks and 17% failures after 4–12 weeks. We show no difference for DAIRs performed within 4 weeks or between 4 and 12 weeks.
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