Application of a new lavage-suction technique in managing chronic periprosthetic joint infection

The implementation of a continuous LS protocol using high-volume antiseptic irrigation and low-pressure drainage significantly improves interim infection control following first-stage revision for chronic PJI. This approach reduces systemic antibiotic exposure, lowers surgical burden, accelerates inflammatory resolution, and may reduce the risk of reinfection. Prospective, multicenter trials are warranted to validate these findings and to optimize irrigation parameters and antiseptic protocols.

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Publication Details

Journal
Journal of Orthopaedic Surgery and Research
Published
2025-12-25
DOI
https://doi.org/10.1186/s13018-025-06573-7
Primary Topic
Orthopedic Infections and Treatments
Type
article
Field-Weighted Citation Impact
0.00
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article

Application of a new lavage-suction technique in managing chronic periprosthetic joint infection

XiangWei JIANG, Xiaobo Zhu, Rongtai Sun, fengchao zhao et al.
Journal of Orthopaedic Surgery and Research
Orthopedic Infections and Treatments
article

Application of a new lavage-suction technique in managing chronic periprosthetic joint infection

XiangWei JIANG, Xiaobo Zhu, Rongtai Sun, fengchao zhao, Ahmad Alhaskawi, Tiantian Ying
article en

Abstract

The implementation of a continuous LS protocol using high-volume antiseptic irrigation and low-pressure drainage significantly improves interim infection control following first-stage revision for chronic PJI. This approach reduces systemic antibiotic exposure, lowers surgical burden, accelerates inflammatory resolution, and may reduce the risk of reinfection. Prospective, multicenter trials are warranted to validate these findings and to optimize irrigation parameters and antiseptic protocols.

Journal of Orthopaedic Surgery and ResearchVol. 21(1)
Affiliated Hangzhou First People's Hospital, Westlake University, School of Medicine (CN), First Affiliated Hospital Zhejiang University (CN), Zhejiang University (CN)
Clean water and sanitation
Openalex Percentile: Top 26%
Orthopedic Infections and Treatments
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