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Dair procedure3/26/2023 ![]() ![]() 26 Several factors have been associated with its failures: patient’s own immune deficiency and a high ASA score, the presence of methicillin-resistant Staphylococcus aureus (MRSA), Streptococcus. Therefore, the DAIR procedure should be carried out up to a maximum of 34 weeks after the onset of symptoms. The DAIR procedure was performed under spinal anesthesia with the patient in the supine position and her right knee free on the operating table, and the knee was exposed through the same minimally invasive medial approach which was previously used in the primary surgery. Historically, the DAIR procedure showed a reasonable infection eradication rate between 50 and 80 when used in appropriately selected patients. Our conclusion tends to favor of the mobile part’s exchange whenever feasible. DAIR Procedure Via an ABMS Approach The DAIR procedure is indicated in the case of an acute infection in which the prosthesis can still be preserved because the biofilm has not yet fully formed on the surface of the prosthesis. We moreover discuss the optimal duration of concomitant targeted systemic antibiotic therapy and reveal some insights in the surgical difficulties in performing DAIR. In this narrative mini review, we evaluate the existing literature that analyses the benefit of exchanging mobile parts with at least ten own cases. Scientific data proving the necessity of mobile part exchanges (by leaving other infected components in situ) remain scarce. DAIR can be performed with or without mobile part’s exchange during debridement. The therapeutic DAIR approach (debridement, antibiotics, irrigation, and retention) is an option for acute and stable PJI yielding remission incidences that oscillate between 70% and 90% in a literature mostly composed of retrospective single-center trials. Less surgical procedures were performed in the group treated with sponges. Copy AbstractĪ prosthetic joint infection (PJI) requires a combined approach (infectiology and surgery). A major concern during the DAIR procedure in meniscal bearing UKA is the removal of a well-fixed mobile bearing without doing harm to the remaining healthy structures such as the medial collateral ligament, the anterior cruciate ligament, and the healthy cartilage laterally 9,12. Patients and methods 91 patients treated with DAIR for hip or knee PJI in 3. Mini Review on the Impact of Mobile Parts’ Exchange During the DAIR Procedure (Debridement, Antibiotics, Irrigation, Retention) for Infected Total Joint Arthroplasties. Bezel, P Fucentese, S F Burkhard, J Holy, D Nieuwland, A J Burkhard, M Uçkay, I (2019). Several studies have recommended DAIR as the preferred treatment option for acute PJI 24, 25 and that arthroscopic washout procedures should be considered as only temporizing procedures, predominantly indicated for patients who are acutely unwell and cannot tolerate a DAIR or revision arthroplasty. ![]()
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