Multiple Irrigation and Debridements for Periprosthetic Joint Infections: Facing a Necessity or Just Prolonging the Inevitable?

作者：Triantafyllopoulos Georgios^*; Poultsides Lazaros A; Zhang Wei; Sculco Peter K; Ma Yan; Sculco Thomas P

来源：Journal of Arthroplasty, 2016, 31(1): 219-224.

DOI：10.1016/j.arth.2015.06.051

• periprosthetic joint infections
• hip
• knee
• multiple irrigation and debridements
• outcomes

Irrigation and debridement (I&D) may be a viable option in selected cases of periprosthetic joint infections (PJI). Our aim was to investigate the role of multiple I&Ds. Among 141 patients with PJI treated with I&D in our institution, 19 were subjected to additional procedures. Their clinical characteristics were retrospectively reviewed and compared to the remaining patients treated with a single I&D. The probability of treatment failure (removal of implants) was not significantly different among the two groups. The interval between serial I&Ds was a significant factor determining outcomes. Patients treated with multiple I&Ds had a significantly higher prevalence of peripheral vascular disease. The decision to proceed with repeat of I&D should be made with caution.

• 出版日期2016-1