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Review
. 2018 Jun 8;3(3):108-117.
doi: 10.7150/jbji.24285. eCollection 2018.

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

Ricardo Sousa  1   2 , Miguel Araújo Abreu  3   2
Affiliations
Review

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

Ricardo Sousa et al. J Bone Jt Infect. .

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.

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

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Conflict of interest statement

Competing Interests: The authors have declared that no competing interest exists.

References

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