J. Bone Joint Infect. 2016, Vol. 1
Ivyspring International Publisher
20
Journal of Bone and Joint Infection 2016; 1: 20-24. doi: 10.7150/jbji.14075
Research Paper
The Effectiveness of Debridement, Antibiotics and Irrigation for Periprosthetic Joint Infections after Primary Hip and Knee Arthroplasty. A 15 Years Retrospective Study in Two Community Hospitals in the Netherlands LMA de Vries1, W van der Weegen2, WC Neve1, HPW Das2, BU Ridwan3, J Steens1 1. 2. 3.
Department of Orthopaedics, Westfriesgasthuis, Hoorn, the Netherlands; Department of Orthopaedics, St Anna Hospital, Geldrop, the Netherlands; Department of Medical Microbiology, Westfriesgasthuis, Hoorn, the Netherlands.
Corresponding author: Lieke de Vries, MSc. Department of Orthopaedics, Westfriesgasthuis, Maelsonstraat 3, 1624 NP Hoorn, the Netherlands. Phone: +31 (0)229 855562 Email:
[email protected]. © Ivyspring International Publisher. This is an open access article distributed under the terms of the Creative Commons Attribution (CC BY-NC) license (https://creativecommons.org/licenses/by-nc/4.0/). See http://ivyspring.com/terms for full terms and conditions.
Published: 2016.04.07
Abstract The aim of our study was to evaluate the effectiveness of debridement, antibiotics, irrigation and retention (DAIR) in patients who developed a periprosthetic joint infection (PJI) after primary hip or knee arthroplasty in two community hospitals in the Netherlands. We retrospectively collected data in two hospitals in the Netherlands on all episodes of PJI after primary hip (THA) and knee arthroplasty (TKA) from 1998-2012. In 109 of 8234 THA (1.32%) and 65 of 5752 TKA (1.13%) a PJI developed. DAIR was used as treatment in 84 patients after THA (77.1%) and 56 patients after TKA (86.2%). 34 Patients only received antibiotics or were immediately revised. After 1 year follow-up, prosthesis retention was achieved in 81 THA patients (74.3%) and 48 TKA patients (73.8%). Acute infections showed a better survival compared to late infections (84.0% vs 46.6% respectively; p
