Debridement and Implant Retention for Acute Periprosthetic Knee Infection


Periprosthetic joint infection (PJI) is a devastating complication of total joint arthroplasty. We reviewed the current data on DAIR procedures and two-stage exchange for periprosthetic knee infection. This case study illustrates successful treatment of an acute PJI using a debridement and implant retention (DAIR) technique with adjuvant intraosseous (IO) vancomycin. (Journal of Surgical Orthopaedic Advances 30(4):249–252, 2021)

Key words: periprosthetic joint infection, irrigation and debridement, intraosseous antibiotics

Carl L. Herndon, MD and Keith A. Fehring, MD