ArticleInternational orthopaedics2015
Irrigation and debridement for periprosthetic infections of the hip and factors determining outcome.
Article in International orthopaedics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 51 citations in OpenAlex.
- Article
- Single-Stage Revision for Treatment of Prosthetic Joint Infection in Total Hip Arthroplasty.Indian journal of orthopaedics · 2025Review
- Outcome of Irrigation and Debridement with Topical Antibiotic Delivery Using Antibiotic-Impregnated Calcium Hydroxyapatite for the Management of Periprosthetic Hip Joint Infection.Antibiotics (Basel, Switzerland) · 2023Article
- A review of current practices in periprosthetic joint infection debridement and revision arthroplasty.Arthroplasty (London, England) · 2022Review
- Acute or chronic periprosthetic joint infection? Using the ESR ∕ CRP ratio to aid in determining the acuity of periprosthetic joint infections.Journal of bone and joint infection · 2021Article
- Debridement, Antibiotics and Implant Retention for Early Periprosthetic Infections of the Hip: Outcomes and Influencing Factors.Hip & pelvis · 2019Article
- The impact of obesity on resource utilization among patients undergoing total joint arthroplasty.International orthopaedics · 2019Article
- Indications and Guidelines for Debridement and Implant Retention for Periprosthetic Hip and Knee Infection.Current reviews in musculoskeletal medicine · 2018Review
- [Clinical research of debridement with prosthesis retention for periprosthetic joint infection after arthroplasty].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2018Article
- Prosthetic joint infection-a devastating complication of hemiarthroplasty for hip fracture.Acta orthopaedica · 2017Article
- Pre-operative intra-articular deep tissue sampling with novel retrograde forceps improves the diagnostics in periprosthetic joint infection.International orthopaedics · 2017Article
- Distribution characteristics ofExperimental and therapeutic medicine · 2017Article
- Implant retention after acute and hematogenous periprosthetic hip and knee infections: Whom, when and how?World journal of orthopedics · 2016Review
- Risk factors and a prognostic model of hip periprosthetic infection recurrence after surgical treatment using articulating and non-articulating spacers.International orthopaedics · 2016Article
- The Double DAIR: A 2-Stage Debridement with Prosthesis-Retention Protocol for Acute Periprosthetic Joint Infections.JBJS essential surgical techniquesArticle
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeOur purpose was to identify the success rate and factors predicting outcome of irrigation and debridement (I&D) in patients with deep periprosthetic joint infection (PJI) of the hip.
methodsWe retrospectively reviewed clinical characteristics of patients with deep PJI after primary/revision total hip arthroplasty (THA) between January 2000 and May 2013 treated with I&D. Implant retention was the outcome of interest. Sixty patients (29 men and 31 women; mean age 64.9 years) were identified. Mean follow-up was 59 months (range, 12-168).
resultsThe implants were retained in 42 patients (70%). Failure of I&D treatment correlated with duration of symptoms >five days (p <0.001) and obesity [body mass index (BMI) ≥ 30)] (p = 0.0289). Treatment outcome was affected by the type of pathogen (p = 0.0482), with patients with methicillin-resistant staphylococci having significantly lower odds of success.
conclusionsI&D can be a feasible option in THA patients presenting with acute deep PJI. Duration of symptoms >five days, isolation of methicillin-resistant staphylococci and obesity should be taken into consideration in pre-operative decision making.
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