Role for irrigation and debridement in periprosthetic infections
| Autor: | Carlo Luca Romanò, Lorenzo Drago, Nicola Logoluso, Delia Romanò, Andrea Peccati |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Reoperation
medicine.medical_specialty Irrigation Debridement Prosthesis-Related Infections business.industry medicine.medical_treatment Arthroplasty Replacement Hip MEDLINE Periprosthetic Therapeutic irrigation Prosthesis Arthroplasty Surgery medicine Humans Orthopedics and Sports Medicine Prosthesis-Related Infection business Arthroplasty Replacement Knee Therapeutic Irrigation |
| Zdroj: | The journal of knee surgery. 27(4) |
| ISSN: | 1938-2480 |
| Popis: | Irrigation and debridement (ID) 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 ID 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. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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