The Double DAIR: A 2-Stage Debridement with Prosthesis-Retention Protocol for Acute Periprosthetic Joint Infections | Zendy

Kade S. McQuivey | Zendy; Joshua S. Bingham | Zendy; Andrew S. Chung | Zendy; Henry D. Clarke | Zendy; Adam J. Schwartz | Zendy; Jordan R. Pollock | Zendy; Christopher Beauchamp | Zendy; Mark J. Spangehl | Zendy

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The Double DAIR: A 2-Stage Debridement with Prosthesis-Retention Protocol for Acute Periprosthetic Joint Infections

Author(s) -

Kade S. McQuivey,

Joshua S. Bingham,

Andrew S. Chung,

Henry D. Clarke,

Adam J. Schwartz,

Jordan R. Pollock,

Christopher Beauchamp,

Mark J. Spangehl

Publication year - 2021

Publication title -

jbjs essential surgical techniques

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.686

H-Index - 7

ISSN - 2160-2204

DOI - 10.2106/jbjs.st.19.00071

Subject(s) - periprosthetic , medicine , debridement (dental) , prosthesis , implant , surgery , joint infections , arthroplasty , dentistry

Debridement and implant retention (DAIR) has variable success as a treatment for acute periprosthetic joint infection (PJI), with generally poor outcomes reported in the literature 1 . Because of the unacceptably high failure rate of DAIR, we implemented a 2-stage debridement protocol that includes the use of high-dose antibiotic beads between stages for the treatment of acute PJI. In 2 previous studies, with an average follow-up of 3.5 years in each study, we reported overall infection-control rates of 87% and 90% 2,3 .

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