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

Debridement, antibiotics, and implant retention (DAIR) is a procedure to treat a periprosthetic joint infection (PJI) after total hip arthroplasty (THA) or total knee arthroplasty (TKA). The timing between the primary procedure and the DAIR is likely a determinant for its successful outcome. However, the optimal timing of a DAIR and the chance of success still remain unclear. We aimed to assess the risk of re-revision within 1 year after a DAIR procedure and to evaluate the timing of the DAIR in primary THA and TKA. We used data from the Dutch Arthroplasty Register (LROI) and selected all prim... Mehr ...

Verfasser: Van Der Ende, Barry
Van Oldenrijk, Jakob
Reijman, Max
Croughs, Peter D.
Van Steenbergen, Liza N.
Verhaar, Jan A.N.
Koen Bos, P.
Dokumenttyp: Artikel
Erscheinungsdatum: 2021
Reihe/Periodikum: Van Der Ende , B , Van Oldenrijk , J , Reijman , M , Croughs , P D , Van Steenbergen , L N , Verhaar , J A N & Koen Bos , P 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 ' , Journal of Bone and Joint Infection , vol. 6 , no. 8 , pp. 329-336 . https://doi.org/10.5194/jbji-6-329-2021
Schlagwörter: /dk/atira/pure/sustainabledevelopmentgoals/good_health_and_well_being / name=SDG 3 - Good Health and Well-being
Sprache: Englisch
Permalink: https://search.fid-benelux.de/Record/base-29042338
Datenquelle: BASE; Originalkatalog
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Link(s) : https://pure.eur.nl/en/publications/2950012b-b23b-42bf-b912-1bd2dd063adc

Debridement, antibiotics, and implant retention (DAIR) is a procedure to treat a periprosthetic joint infection (PJI) after total hip arthroplasty (THA) or total knee arthroplasty (TKA). The timing between the primary procedure and the DAIR is likely a determinant for its successful outcome. However, the optimal timing of a DAIR and the chance of success still remain unclear. We aimed to assess the risk of re-revision within 1 year after a DAIR procedure and to evaluate the timing of the DAIR in primary THA and TKA. We used data from the Dutch Arthroplasty Register (LROI) and selected all primary THA and TKA in the period 2007-2016 which underwent a DAIR within 12 weeks after primary procedure. A DAIR was defined as a revision for infection in which only modular parts were exchanged. A DAIR was defined as successful if not followed by a re-revision within 1 year after DAIR; 207 DAIRs were performed <4 weeks after THA, of which 16 (8ĝ€¯%) received a complete revision within 1 year. DAIR procedures performed between 4 and 12 weeks (nCombining double low line98) had a failure rate of 9% (nCombining double low line9). After TKA 126 DAIRs were performed in less than 4 weeks, of which 11 (9%) received a complete revision within 1 year; 83 DAIRs were performed between 4 and 12 weeks, of which 14 (17%) were revised. There was no significant difference in 1-year re-revision rate after a DAIR procedure by timing of the DAIR procedure for total hip and knee arthroplasty based on Dutch registry data.