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2018 ; 3
(3
): 108-117
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Treatment of Prosthetic Joint Infection with Debridement, Antibiotics and
Irrigation with Implant Retention - a Narrative Review
#MMPMID30013891
Sousa R
; Abreu MA
J Bone Jt Infect
2018[]; 3
(3
): 108-117
PMID30013891
show ga
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.