Debridement, antibiotics and implant retention in early periprosthetic joint infection after primary total hip arthroplasty : 88 percent survival after two years follow-up / S.G.M. Weenders in Acta Orthopaedica Belgica, Vol.82/3 (Septembre 2016)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol.82/3 (Septembre 2016) . - p. 530-538 Titre : Debridement, antibiotics and implant retention in early periprosthetic joint infection after primary total hip arthroplasty : 88 percent survival after two years follow-up Type de document : texte imprimé Auteurs : S.G.M. Weenders ; M.W. Nijhof ; J.J.P. Schimmel ; J.H.M. Goosen Année de publication : 2016 Article en page(s) : p. 530-538 Langues : Anglais (eng) Mots-clés : hanche  arthroplastie Résumé : Treatment protocols and results of debridement, antibiotics, irrigation and retention of the prosthesis (DAIR) for early prosthetic joint infection (PJI) vary in literature. The purpose of this study was to analyze the results of DAIR with a multidisciplinary designed customized antibiotic protocol for early PJI after primary total hip replacement (THR). We retrospectively analyzed all patients with an early PJI between 2008 and 2012. When an infection was suspected, debridement of the prosthesis, and collection of intraoperative cultures, was performed. Patients were multidisciplinary discussed and treated with an appropriate antibiotic scheme for 12 weeks. Primary outcome was retention of the prosthesis after at least two years follow-up and without any signs of infection. We indentified 25 patients with early PJI. At a median follow-up time of 3.1 years (range 2.1-5.5 years), 88% had retention of the prosthesis and no signs of infection. This study suggests that DAIR with a multidisciplinary approach and an aimed antibiotic treatment for early PJI after THR is a reasonable treatment option with 88% implant retention after two years follow-up. Permalink : ./index.php?lvl=notice_display&id=47181 [article] Debridement, antibiotics and implant retention in early periprosthetic joint infection after primary total hip arthroplasty : 88 percent survival after two years follow-up [texte imprimé] / S.G.M. Weenders ; M.W. Nijhof ; J.J.P. Schimmel ; J.H.M. Goosen . - 2016 . - p. 530-538. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol.82/3 (Septembre 2016) . - p. 530-538 Mots-clés : hanche  arthroplastie Résumé : Treatment protocols and results of debridement, antibiotics, irrigation and retention of the prosthesis (DAIR) for early prosthetic joint infection (PJI) vary in literature. The purpose of this study was to analyze the results of DAIR with a multidisciplinary designed customized antibiotic protocol for early PJI after primary total hip replacement (THR). We retrospectively analyzed all patients with an early PJI between 2008 and 2012. When an infection was suspected, debridement of the prosthesis, and collection of intraoperative cultures, was performed. Patients were multidisciplinary discussed and treated with an appropriate antibiotic scheme for 12 weeks. Primary outcome was retention of the prosthesis after at least two years follow-up and without any signs of infection. We indentified 25 patients with early PJI. At a median follow-up time of 3.1 years (range 2.1-5.5 years), 88% had retention of the prosthesis and no signs of infection. This study suggests that DAIR with a multidisciplinary approach and an aimed antibiotic treatment for early PJI after THR is a reasonable treatment option with 88% implant retention after two years follow-up. Permalink : ./index.php?lvl=notice_display&id=47181

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Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Document exclu du prêt - à consulter sur place Exclu du prêt

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