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.

Related subject area

Subject: Prosthesis-related infections | Topic: Surgery
Outcomes of the gastrocnemius flap performed by orthopaedic surgeons in salvage revision knee arthroplasty
Robert Allan McCulloch, Amirul Adlan, Scott Evans, Michael Parry, Jonathan Stevenson, and Lee Jeys
J. Bone Joint Infect., 6, 425–432, https://doi.org/10.5194/jbji-6-425-2021,https://doi.org/10.5194/jbji-6-425-2021, 2021
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Long-term outcome of two-stage revision surgery after hip and knee prosthetic joint infections: an observational study
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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.