感染性全踝关节置换术（TAA）中清创、抗生素和保留植入物（DAIR）的最佳方案是什么（冲洗液的类型和容量等）？
What Is the Optimal Protocol for Performing Debridement, Antibiotics and Implant Retention (DAIR) in an Infected Total Ankle Arthroplasty (TAA) (Type and Volume of Irrigation Solution, and so on)?
机构信息
1 Balgrist University Hospital, Zurich, Switzerland.
2 Rothman Orthopaedics, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA, USA.
出版信息
Foot Ankle Int. 2019 Jul;40(1_suppl):53S-55S. doi: 10.1177/1071100719861103.
RECOMMENDATION
Debridement, antibiotics, and implant retention (DAIR) in acute total ankle arthroplasty (TAA) infections may be an acceptable treatment option. If performed, DAIR should be done meticulously, ensuring that all necrotic or infected tissues are removed and modular parts of the prosthesis, if any, exchanged. The infected joint should also be irrigated with antiseptic solutions.
LEVEL OF EVIDENCE
Consensus.
DELEGATE VOTE
Agree: 100%, Disagree: 0%, Abstain: 0% (Unanimous, Strongest Consensus).
推荐意见
在急性全踝关节置换术（TAA）感染中，清创术、抗生素和植入物保留（DAIR）可能是一种可接受的治疗选择。如果进行 DAIR，应仔细操作，确保清除所有坏死或感染的组织，并更换任何有问题的假体部件。还应使用抗菌溶液冲洗受感染的关节。
证据等级
共识。
代表投票
同意：100%，不同意：0%，弃权：0%（一致通过，最强共识）。
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