How many irrigation and debridements (I&Ds) of an infected oncologic endoprosthesis are reasonable before consideration should be given to resection arthroplasty?

How many irrigation and debridements (I&Ds) of an infected oncologic endoprosthesis are reasonable before consideration should be given to resection arthroplasty?

Authors: Oscar Ares, John Abraham, John Strony, Keenan Sobol, Ignacio Moya, Andrea Sallent

RECOMMENDATION: Decision to repeat irrigation and debridement and retention of an infected endoprosthesis (DAIR) should be made based on comorbidities of the host, virulence of the organism, complexity of the reconstruction and status of the soft tissues. We believe DAIR performed more than two or three times is unlikely to be successful.

LEVEL OF EVIDENCE: Consensus

DELEGATE VOTE: Agree: 100%, Disagree: 0%, Abstain: 0% (Unanimous, Strongest Consensus)

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