Irrigation and debridement in the management of prosthetic joint infection: Traditional indications revisited

Khalid A. Azzam, Mark Seeley, Elie Ghanem, Matthew S. Austin, James J. Purtill, Javad Parvizi

Research output: Contribution to journalArticle

135 Scopus citations

Abstract

Irrigation and debridement (I and D) is a procedure commonly used for the treatment of acute periprosthetic infection. This study retrospectively reviewed clinical records of patients with periprosthetic infection of the hip or knee who underwent I and D with retention of their prostheses between 1997 and 2005 at a single institution. One hundred four patients (44 males and 60 females) were identified. Mean age at time of initial debridement was 65 years. Average follow-up was 5.7 years. Treatment failure was defined as the need for resection arthroplasty or recurrent microbiologically proven infection. According to these criteria, I and D was successful in 46 patients (44%). Patients with staphylococcal infection, elevated American Society of Anesthesiologists score, and purulence around the prosthesis were more likely to fail. The high failure rate of this procedure implies that it should be preferably limited to select healthy patients with low virulence organisms and equivocal intraoperative findings.

Original languageEnglish (US)
Pages (from-to)1022-1027
Number of pages6
JournalJournal of Arthroplasty
Volume25
Issue number7
DOIs
StatePublished - Oct 2010
Externally publishedYes

Keywords

  • Irrigation and debridement.
  • Periprosthetic infection
  • Total hip arthroplasty
  • Total knee arthroplasty

Fingerprint Dive into the research topics of 'Irrigation and debridement in the management of prosthetic joint infection: Traditional indications revisited'. Together they form a unique fingerprint.

  • Cite this