Efficiency of Surgical Debridement and Implant Retaining in Treatment of Early Postoperative and Acute Hematogenous Periprosthetic Infections of Hip
Background. Periprosthetic infection is a devastating complication that influences the duration of treatment and patients life quality. Debridement, Antibiotics and Implant Retention (DAIR) is considered as least invasive surgery patients with stable implant, except cases of chronical peripros...
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| Format: | Article |
| Language: | Russian |
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Vreden Russian Research Institute of Traumatology and Orthopedics
2021-05-01
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| Series: | Travmatologiâ i Ortopediâ Rossii |
| Subjects: | |
| Online Access: | https://journal.rniito.org/jour/article/viewFile/1588/1093 |
| _version_ | 1828132730685095936 |
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| author | A. S. Tryapichnikov A. M. Ermakov T. A. Silantieva A. V. Burtsev |
| author_facet | A. S. Tryapichnikov A. M. Ermakov T. A. Silantieva A. V. Burtsev |
| author_sort | A. S. Tryapichnikov |
| collection | DOAJ |
| description | Background. Periprosthetic infection is a devastating complication that influences the duration of treatment and patients life quality. Debridement, Antibiotics and Implant Retention (DAIR) is considered as least invasive surgery patients with stable implant, except cases of chronical periprosthetic infection. The aim of this study was to evaluate efficiency of surgical debridement and implant retaining in control over infection in group patients with early postoperative and acute hematogenous periprosthetic infections. Materials and Methods.We performed retrospective monocentral cohort study of treatment early postoperative and acute hematogenous periprosthetic infections of hip in 26 patients. The group included cases with stable implants and period between manifestation of infection and DAIR no more than 4 weeks. We have classified infection as early postoperative in 22 patients (84,2%) and as acute hematogenous in 4 cases (15,8%). Results.At mean follow-up 42,8±2,3 mounts five patients underwent removal of implant due to reinfection. We performed successful twostage revision for four of them and had to perform resection arthroplasty in one case. Thus, DAIR protocol was successful in 80,8(%) cases. The mean Harris Hip Score significantly improved compared to preoperative values from 59,2±2,5 to 80,5±1,3 at the last follow-up (p = 0,0002, Z-3,7). Conclusions.The efficiency of DAIR according to our data was 80,8%. These results allow to consider DAIR as a method of treatment of patients with early postoperative and acute hematogenous periprosthetic infections. Exchange of modular components can decrease the reinfection rate. |
| first_indexed | 2024-04-11T17:08:29Z |
| format | Article |
| id | doaj.art-baa284ea56e24d77960ff3755188ebb3 |
| institution | Directory Open Access Journal |
| issn | 2311-2905 2542-0933 |
| language | Russian |
| last_indexed | 2024-04-11T17:08:29Z |
| publishDate | 2021-05-01 |
| publisher | Vreden Russian Research Institute of Traumatology and Orthopedics |
| record_format | Article |
| series | Travmatologiâ i Ortopediâ Rossii |
| spelling | doaj.art-baa284ea56e24d77960ff3755188ebb32022-12-22T04:12:58ZrusVreden Russian Research Institute of Traumatology and OrthopedicsTravmatologiâ i Ortopediâ Rossii2311-29052542-09332021-05-01272233310.21823/2311-2905-2021-27-2-23-33964Efficiency of Surgical Debridement and Implant Retaining in Treatment of Early Postoperative and Acute Hematogenous Periprosthetic Infections of HipA. S. Tryapichnikov0https://orcid.org/0000-0001-7305-506XA. M. Ermakov1https://orcid.org/0000-0002-5420-4637T. A. Silantieva2https://orcid.org/0000-0001-6405-8365A. V. Burtsev3https://orcid.org/0000-0001-8968-6528Ilizarov National Medical Research Centre for Traumatology and OrthopedicsIlizarov National Medical Research Centre for Traumatology and OrthopedicsIlizarov National Medical Research Centre for Traumatology and OrthopedicsIlizarov National Medical Research Centre for Traumatology and OrthopedicsBackground. Periprosthetic infection is a devastating complication that influences the duration of treatment and patients life quality. Debridement, Antibiotics and Implant Retention (DAIR) is considered as least invasive surgery patients with stable implant, except cases of chronical periprosthetic infection. The aim of this study was to evaluate efficiency of surgical debridement and implant retaining in control over infection in group patients with early postoperative and acute hematogenous periprosthetic infections. Materials and Methods.We performed retrospective monocentral cohort study of treatment early postoperative and acute hematogenous periprosthetic infections of hip in 26 patients. The group included cases with stable implants and period between manifestation of infection and DAIR no more than 4 weeks. We have classified infection as early postoperative in 22 patients (84,2%) and as acute hematogenous in 4 cases (15,8%). Results.At mean follow-up 42,8±2,3 mounts five patients underwent removal of implant due to reinfection. We performed successful twostage revision for four of them and had to perform resection arthroplasty in one case. Thus, DAIR protocol was successful in 80,8(%) cases. The mean Harris Hip Score significantly improved compared to preoperative values from 59,2±2,5 to 80,5±1,3 at the last follow-up (p = 0,0002, Z-3,7). Conclusions.The efficiency of DAIR according to our data was 80,8%. These results allow to consider DAIR as a method of treatment of patients with early postoperative and acute hematogenous periprosthetic infections. Exchange of modular components can decrease the reinfection rate.https://journal.rniito.org/jour/article/viewFile/1588/1093early periprosthetic infection, acute hematogenous periprosthetic infection, debridement, implant retention, dair |
| spellingShingle | A. S. Tryapichnikov A. M. Ermakov T. A. Silantieva A. V. Burtsev Efficiency of Surgical Debridement and Implant Retaining in Treatment of Early Postoperative and Acute Hematogenous Periprosthetic Infections of Hip Travmatologiâ i Ortopediâ Rossii early periprosthetic infection, acute hematogenous periprosthetic infection, debridement, implant retention, dair |
| title | Efficiency of Surgical Debridement and Implant Retaining in Treatment of Early Postoperative and Acute Hematogenous Periprosthetic Infections of Hip |
| title_full | Efficiency of Surgical Debridement and Implant Retaining in Treatment of Early Postoperative and Acute Hematogenous Periprosthetic Infections of Hip |
| title_fullStr | Efficiency of Surgical Debridement and Implant Retaining in Treatment of Early Postoperative and Acute Hematogenous Periprosthetic Infections of Hip |
| title_full_unstemmed | Efficiency of Surgical Debridement and Implant Retaining in Treatment of Early Postoperative and Acute Hematogenous Periprosthetic Infections of Hip |
| title_short | Efficiency of Surgical Debridement and Implant Retaining in Treatment of Early Postoperative and Acute Hematogenous Periprosthetic Infections of Hip |
| title_sort | efficiency of surgical debridement and implant retaining in treatment of early postoperative and acute hematogenous periprosthetic infections of hip |
| topic | early periprosthetic infection, acute hematogenous periprosthetic infection, debridement, implant retention, dair |
| url | https://journal.rniito.org/jour/article/viewFile/1588/1093 |
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