Sigmund Irene K, Wouthuyzen-Bakker Marjan, Ferry Tristan, Metsemakers Willem-Jan, Clauss Martin, Soriano Alex, Trebse Rihard, Sousa Ricardo
Department of Orthopaedics and Traumatology, Medical University of Vienna, Vienna, Austria.
Department of Medical Microbiology and Infection Prevention, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.
J Bone Jt Infect. 2025 Apr 1;10(2):139-142. doi: 10.5194/jbji-10-139-2025. eCollection 2025.
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.
这是我们关于清创、抗菌治疗和植入物保留（DAIR）手术的立场文件总结，该手术作为急性人工髋关节和膝关节感染的治愈性治疗策略。基于现有文献，它包括了DAIR手术在旨在根除/治愈时的明确适应症以及禁忌症。描述了决策过程中需要考虑的风险因素。此外，我们还概述了接受DAIR治疗的急性假体周围感染（PJI）患者管理中的重要手术和医疗注意事项。
