Can debridement, antibiotics and implant retention (DAIR) be utilized in patients with an acute chronic infection of a unicompartmental knee arthroplasty (UKA)?

Can debridement, antibiotics and implant retention (DAIR) be utilized in patients with an acute chronic infection of a unicompartmental knee arthroplasty (UKA)?

Authors: Rafael J. Sierra, George Babis, Jean Noël Argenson

RECOMMENDATION: In the event of acute infection following UKA, early DAIR can be considered. However, if initial treatment effort results in failure or chronic infection is present, the implanted prosthesis should be removed and a one-stage or two-stage conversion to total knee arthroplasty (TKA) should be performed in combination with antibiotic therapy.

LEVEL OF EVIDENCE: Limited

DELEGATE VOTE: Agree: 96%, Disagree: 2%, Abstain: 2% (Unanimous, Strongest Consensus)

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