Negative pressure wound therapy and intra-articular antibiotics instillation (NPWTiai) for the treatment of chronic arthroplasty-associated infections and implant retention: An alternative approach

Saeed, Kordo, Dryden, Matthew, Chambers, Tina, Clarke, Jenny, Winnard, Christopher, Parker, Natalie, Lucero, Sheryl and Hook, William (2013) Negative pressure wound therapy and intra-articular antibiotics instillation (NPWTiai) for the treatment of chronic arthroplasty-associated infections and implant retention: An alternative approach. Techniques in Orthopaedics, 28 (2), 201-206. (doi:10.1097/BTO.0b013e31827b058c).

Abstract

Despite current low rates, the incidence of arthroplasty-associated infections (AAI) is likely to increase over the next few years as the number of joint replacement operations continues to rise worldwide. AAI pose a challenge for both patients and surgeons. They have become a major economic burden on healthcare systems. Debridement and implant retention is not a widely considered option for chronic AAI probably due to low success rates. Negative Pressure Wound Therapy and intra-articular antibiotics instillation using VAC ULTA/VeraFlo system is an alternative strategy in the management of chronic AAI where implant retention is sought. Further evaluations and studies are needed to address the efficacy of this strategy and its cost effectiveness.

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Contributors

Author: Kordo Saeed

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