Optimal protocol for intraoperative irrigation to prevent periprosthetic joint infection

Irrigation with 0.13% diluted povidone-iodine every 30 minutes provides the optimal balance between antimicrobial efficacy against MSSA and minimal cytotoxicity, making it the most effective strategy for preventing PJI during surgery. This study highlights the critical role of timing and frequency in povidone-iodine irrigation for reducing PJI risk.

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Publication Details

Journal
Bone and Joint Research
Published
2026-01-02
DOI
https://doi.org/10.1302/2046-3758.151.bjr-2025-0122.r1
Primary Topic
Orthopedic Infections and Treatments
Type
article
Field-Weighted Citation Impact
0.00
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article

Optimal protocol for intraoperative irrigation to prevent periprosthetic joint infection

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Optimal protocol for intraoperative irrigation to prevent periprosthetic joint infection

Tomoyuki Kataoka, Yoshitomo Kajino, Yu Yanagi, Satoru Demura, Musashi Ima, Masaharu Tokoro, Tamon Kabata, Daisuke Inoue
article en

Abstract

Irrigation with 0.13% diluted povidone-iodine every 30 minutes provides the optimal balance between antimicrobial efficacy against MSSA and minimal cytotoxicity, making it the most effective strategy for preventing PJI during surgery. This study highlights the critical role of timing and frequency in povidone-iodine irrigation for reducing PJI risk.

Bone and Joint ResearchVol. 15(1)
Kanazawa University (JP), Shiga Medical Center (JP)
Clean water and sanitation
Openalex Percentile: Top 99%
Orthopedic Infections and Treatments
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