Evidence map›Paper›PMID 40463685›Full record

ArticleJournal of bone and joint infection2025

Debridement, antimicrobial therapy, and implant retention (DAIR) as curative strategy for acute periprosthetic hip and knee infections: a position paper of the European Bone & Joint Infection Society (EBJIS).

Irene K Sigmund, Tristan Ferry, Ricardo Sousa, Alex Soriano, Willem-Jan Metsemakers, Martin Clauss, Rihard Trebse, Marjan Wouthuyzen-Bakker

Abstract read
In one paragraph

Article in Journal of bone and joint infection, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  11. High failure rate inJournal of bone and joint infection · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Irene K SigmundDepartment of Orthopaedics and Traumatology, Medical University of Vienna, Vienna, Austria.ORCID https://orcid.org/0000-0002-5068-2738
Tristan FerryInfectious and Tropical Diseases Unit, Croix-Rousse Hospital, Hospices Civils de Lyon, Université Claude Bernard Lyon 1, Lyon, France.
Ricardo SousaPorto Bone Infection Group (GRIP), Orthopaedic Department, ULS Santo António, Porto, Portugal.
Alex SorianoHospital Clinic of Barcelona, Barcelona, Spain.ORCID https://orcid.org/0000-0002-9374-0811
Willem-Jan MetsemakersDepartment of Trauma Surgery, University Hospitals Leuven, Leuven, Belgium.ORCID https://orcid.org/0000-0002-4114-9093
Martin ClaussDepartment of Orthopaedics and Trauma Surgery, Center for Musculoskeletal Infections (ZMSI), University Hospital Basel, Basel, Switzerland.ORCID https://orcid.org/0000-0002-1598-2209
Rihard TrebseOrthopaedic Hospital Valdoltra, Ankaran, Slovenia.ORCID https://orcid.org/0000-0002-1075-3351
Marjan Wouthuyzen-BakkerDepartment of Medical Microbiology and Infection Prevention, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.ORCID https://orcid.org/0000-0001-7866-2467

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

It has been shown that the outcome of a DAIR (debridement, antimicrobial therapy, and implant retention) procedure depends on multiple factors (e.g. infection type, host factors, clinical presentation, condition of surrounding soft tissue, causing pathogen, surgical technique, antimicrobial therapy); therefore, adequate patient selection is key for DAIR success. In this position paper, we discuss the most relevant factors influencing the outcome and define indications, contraindications, and risk factors for a DAIR procedure based on the most robust and most recently published data. Furthermore, we discuss the surgical technique in combination with systemic antimicrobial therapy in patients undergoing a DAIR procedure. This position paper may help reduce reinfection rates as well as the physical, psychological, and economic burden associated with periprosthetic joint infection (PJI). We believe that a reasonable outcome can be achieved with careful patient selection, a dedicated multidisciplinary team, and an appropriate surgical technique and antimicrobial therapy.

Identifiers

PMID40463685
PMCPMC12132041

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.