Open AccessThe 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,
C.P. 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) - medicine , periprosthetic , debridement (dental) , surgery , prosthesis , implant , arthroplasty , amputation , joint infections , antibiotics , microbiology and biotechnology , biology
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 .