J Bone Jt Infect 2018; 3(3):108-117. doi:10.7150/jbji.24285

Review

Treatment of Prosthetic Joint Infection with Debridement, Antibiotics and Irrigation with Implant Retention - a Narrative Review

Ricardo Sousa1,3*, Miguel Araújo Abreu2,3*✉

1. Department of Orthopaedics, Centro Hospitalar do Porto, Porto, Portugal
2. Department of Infectious Diseases, Centro Hospitalar do Porto, Porto, Portugal
3. Grupo TrofaSaude - Hospital em Alfena, Valongo, Portugal
* Porto Bone and Joint Infection Group (GRIP), Centro Hospitalar do Porto and Grupo TrofaSaude - Hospital em Alfena, Portugal

Abstract

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.

Keywords: Prosthetic Joint Infection, Irrigation and Debridement, Implant retention, Total Knee Arthroplasty, Total Hip Arthroplasty, Complications

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How to cite this article:
Sousa R, Abreu MA. Treatment of Prosthetic Joint Infection with Debridement, Antibiotics and Irrigation with Implant Retention - a Narrative Review. J Bone Jt Infect 2018; 3(3):108-117. doi:10.7150/jbji.24285. Available from http://www.jbji.net/v03p0108.htm