Irrigation and debridement (I&D) has been described as a possible option to eradicate early postoperative periprosthetic hip and knee infections, as well as late, acute, and hematogenous ones. Still, the literature fails to uniquely assess the effectiveness of this procedure and often provides conflicting evidence. To reconcile this difference, a systematic review of the available literature from 1970 to 2013 was undertaken. Fifteen articles, for a total of 796 patients, met the inclusion criteria; the average success rate was 44.9 and 52% after a single or repeated I&D procedures, respectively, at an average of 4 years follow-up. Despite the methodological differences and the heterogeneity of the material reviewed, this study demonstrates that this procedure only attains a relatively low success rate of infection eradication, depending on when patients are selected for surgical intervention according to the timeframe of their symptoms.

Role for irrigation and debridement in periprosthetic infections / C. Romanò, N. Logoluso, L. Drago, A. Peccati, D. Romanò. - In: THE JOURNAL OF KNEE SURGERY. - ISSN 1538-8506. - 27:4(2014 Aug), pp. 267-272. [10.1055/s-0034-1373736]

Role for irrigation and debridement in periprosthetic infections

N. Logoluso;L. Drago;A. Peccati;
2014

Abstract

Irrigation and debridement (I&D) has been described as a possible option to eradicate early postoperative periprosthetic hip and knee infections, as well as late, acute, and hematogenous ones. Still, the literature fails to uniquely assess the effectiveness of this procedure and often provides conflicting evidence. To reconcile this difference, a systematic review of the available literature from 1970 to 2013 was undertaken. Fifteen articles, for a total of 796 patients, met the inclusion criteria; the average success rate was 44.9 and 52% after a single or repeated I&D procedures, respectively, at an average of 4 years follow-up. Despite the methodological differences and the heterogeneity of the material reviewed, this study demonstrates that this procedure only attains a relatively low success rate of infection eradication, depending on when patients are selected for surgical intervention according to the timeframe of their symptoms.
No
English
hip; knee; prosthesis; infection; irrigation; debridement
Settore MED/07 - Microbiologia e Microbiologia Clinica
Articolo
Esperti anonimi
Pubblicazione scientifica
ago-2014
27
4
267
272
6
Pubblicato
Periodico con rilevanza internazionale
pubmed
crossref
Aderisco
info:eu-repo/semantics/article
Role for irrigation and debridement in periprosthetic infections / C. Romanò, N. Logoluso, L. Drago, A. Peccati, D. Romanò. - In: THE JOURNAL OF KNEE SURGERY. - ISSN 1538-8506. - 27:4(2014 Aug), pp. 267-272. [10.1055/s-0034-1373736]
none
Prodotti della ricerca::01 - Articolo su periodico
5
262
Article (author)
no
C. Romanò, N. Logoluso, L. Drago, A. Peccati, D. Romanò
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2434/266062
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