ReviewEFORT open reviews2021
Management strategies for prosthetic joint infection: long-term infection control rates, overall survival rates, functional and quality of life outcomes.
Review in EFORT open reviews, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Hydrogel-based strategies for periprosthetic joint infection: from osteoimmune mechanisms to clinical translation.Frontiers in cell and developmental biology · 2026Review
- Clinical outcomes after revision knee arthroplasty due to periprosthetic joint infection: A single-centre study of 359 knees at a high-volume centre with a minimum of one year follow-up.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- Clinical Outcome of Patients with Acute Periprosthetic Joint Infections Caused byMicroorganisms · 2025Article
- Saponin Improves Recovery of Bacteria from Orthopaedic Implants for Enhanced Diagnosis Ex Vivo.Microorganisms · 2025Article
- Efficacy of Different Irrigation Solutions on Bacterial Biofilm in Periprosthetic Joint Infections: A Systematic Review and Network Meta-Analysis.Life (Basel, Switzerland) · 2025Review
- Electromagnetic induction disinfection applied to cemented knee arthroplasty implants: safety evaluation of potential changes in the bone cement.Journal of materials science. Materials in medicine · 2025Article
- Thermal insulation of poly(methyl methacrylate) bone cement and hydroxyapatite coatings under induction heating of metal implants.PloS one · 2025Article
- Article
- Biofilm on total joint replacement materials can be reduced through electromagnetic induction heating using a portable device.Journal of orthopaedic surgery and research · 2024Article
- Addition of vancomycin to cefazolin is often unnecessary for preoperative antibiotic prophylaxis during total joint arthroplasties.Arthroplasty (London, England) · 2024Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
DAIR (debridement, antibiotics, and implant retention), one-stage and two-stage revision surgery are the most common management strategies for prosthetic joint infection (PJI) management. Our knowledge concerning their efficacy is based on short to medium-term low-quality studies.Most studies report infection recurrence rates or infection-free time intervals. However, long-term survival rates of the infection-free joints, functional and quality of life outcome data are of paramount importance.DAIR, one-stage and two-stage revision strategies are not unique surgical techniques, presenting several variables. Infection control rates for the above strategies vary from 75% to 90%, but comparisons are difficult because different indications and patient selection criteria are used in each strategy.Recent outcome data show that DAIR and one-stage revision in selected patients (based on host, bacteriological, soft tissue and type of infection criteria) may present improved functional and quality of life outcomes and reduced costs for health systems as compared to those of two-stage revision.It is expected that health system administrators and providers will apply pressure on surgeons and departments towards the wider use of DAIR and one-stage revision strategies. It is the orthopaedic surgeon's responsibility to conduct quality studies in order to fully clarify the indications and outcomes of the different revision strategies. Cite this article:
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