What is the optimal protocol for performing debridement, antibiotics and implant retention (DAIR) in an infected total ankle arthroplasty (TAA) (type and volume of irrigation solution, and so on)?

What is the optimal protocol for performing debridement, antibiotics and implant retention (DAIR) in an infected total ankle arthroplasty (TAA) (type and volume of irrigation solution, and so on)?

Authors: Ilker Uçkay, David Pedowitz, Mathieu Assal, Justin D. Stull

RECOMMENDATION: DAIR in acute TAA infections may be an acceptable treatment option. If performed, DAIR should be done meticulously, ensuring that all necrotic or infected tissues are removed and modular parts of the prosthesis, if any, exchanged. The infected joint should also be irrigated with antiseptic solutions.

LEVEL OF EVIDENCE: Consensus

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

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