Abstract | BACKGROUND: Thorough irrigation and debridement using an irrigation solution is a well-established treatment for both acute and chronic periprosthetic joint infections (PJIs). In the absence of concrete data, identifying the optimal irrigation agent and protocol remains challenging. METHODS: A thorough review of the current literature on the various forms of irrigations and their additives was performed to evaluate the efficacy and limitations of each solution as pertaining to pathogen eradication in the treatment of PJI. As there is an overall paucity of high-quality literature comparing irrigation additives to each other and to any control, no meta-analyses could be performed. The literature was therefore summarized in this review article to give readers concise information on current irrigation options and their known risks and benefits. RESULTS: CONCLUSION: Further high-quality studies on the optimal irrigation additive and protocol for the management of PJI are warranted to guide future evidence-based decisions.
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Authors | Ahmed Siddiqi, Zuhdi E Abdo, Stephen R Rossman, Michael A Kelly, Nicolas S Piuzzi, Carlos A Higuera, Ran Schwarzkopf, Bryan D Springer, Antonia F Chen, Javad Parvizi |
Journal | The Journal of arthroplasty
(J Arthroplasty)
Vol. 36
Issue 10
Pg. 3570-3583
(Oct 2021)
ISSN: 1532-8406 [Electronic] United States |
PMID | 34127346
(Publication Type: Journal Article, Review)
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Copyright | Copyright © 2021 Elsevier Inc. All rights reserved. |
Chemical References |
- Anti-Infective Agents, Local
- Povidone-Iodine
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Topics |
- Anti-Infective Agents, Local
- Humans
- Knee Joint
- Povidone-Iodine
- Prosthesis-Related Infections
(drug therapy)
- Therapeutic Irrigation
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