Is irrigation and debridement and exchange of modular parts a viable option for treatment of acute periprosthetic joint infection (PJI) involving oncologic endoprosthesis? If so, what are the indications?

Authors: Paul Jutt e, Hesham Abdelbary, Claudia Löwik

RECOMMENDATION: Yes. Irrigation and debridement with retention of prosthesis (DAIR) is a viable option for management of patients with infected endoprosthesis. The procedure may be offered to patients with superficial early infection (< 3 months), short duration of symptoms (< 3 weeks), well-fixed implants and well-characterized organism demonstrating a highly susceptible pathogen.

LEVEL OF EVIDENCE: Moderate

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

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