Debridement, antimicrobial therapy, and implant retention (DAIR) as curative surgical strategy for acute periprosthetic hip and knee infections: a summary of the position paper from the European Bone & Joint Infection Society (EBJIS)
This is a summary of our position paper on debridement, antimicrobial therapy, and implant retention (DAIR) procedures as curative treatment strategy for acute periprosthetic hip and knee infections. It includes the defined indications as well as the contraindications for DAIR procedures when eradication/cure is intended, based on the currently available literature. Risk factors which need to be considered during the decision-making process are described. Additionally, we give an overview of important surgical and medical considerations in the management of acute PJI patients treated with DAIR.
Authors
- Martin Clauss (ORCID: https://orcid.org/0000-0002-1598-2209)
- Àlex Soriano (ORCID: https://orcid.org/0000-0002-9374-0811)
- Irene Katharina Sigmund (ORCID: https://orcid.org/0000-0002-5068-2738)
- Ricardo Jorge Gomes de Sousa (ORCID: https://orcid.org/0000-0003-4293-7347)
- Willem‐Jan Metsemakers (ORCID: https://orcid.org/0000-0002-4114-9093)
- Marjan Wouthuyzen‐Bakker (ORCID: https://orcid.org/0000-0001-7866-2467)
- Rihard Trebše (ORCID: https://orcid.org/0000-0002-1075-3351)
- Tristan Ferry
Institutions
- University Medical Center Groningen (NL)
- University of Groningen (NL)
- Instituto de Salud Carlos III (ES)
- Orthopaedic Hospital Valdoltra (SI)
- University Hospital of Basel (CH)
- Hôpital de la Croix-Rousse (FR)
- Hospices Civils de Lyon (FR)
- Centro de Investigación Biomédica en Red (ES)
- Hospital Clínic de Barcelona (ES)
- Consorci Institut D'Investigacions Biomediques August Pi I Sunyer (ES)
- Medical University of Vienna (AT)
- KU Leuven (BE)
Publication Details
- Journal
- Journal of Bone and Joint Infection
- Published
- 2025-04-01
- DOI
- https://doi.org/10.5194/jbji-10-139-2025
- Citations
- 5
- Primary Topic
- Orthopaedic implants and arthroplasty
- Type
- article
- Field-Weighted Citation Impact
- 10.03