![]() ![]() In acute postoperative prosthetic infections DAIR has an infection control rate of 31%–100% of cases. Although the latest guidelines 6,7 still recommend DAIR for acute, and late infections, several authors 6,8,9 consider this leads to poorer control of infection than in acute postoperative infection. In cases of acute postoperative infections, initial treatment is debridement with replacement of polyethylene, implant retention and antibiotics (debridement, antibiotics and implant retention - DAIR). 3–5 This classification helps us to establish prognosis and treatment. 1,2 Prosthetic infections may be classified into acute postoperative, chronic or late acute, with the latter being mostly haematogenous. The rate of infections in primary prosthetic knee surgery ranges between 1% and 2%, depending on the series, 1–3 and increases up to 10% in revision surgery. Infection is one of the most serious complications in prosthetic surgery. The Journal is included in the major databases: MEDLINE/PubMed, IME, EMBASE, Bibliomed, SCOPUS, and IBECS. All works are evaluated blind by at least 3 peer reviewers, whose judgements are finally supervised by the Editor of the particular area of knowledge and by the Journal Editor in Chief. The Editorial Committee consists of 10 independent members, specialists of recognised prestige that are not associated with the governing bodies of the Society. The Updates and Research Works sections are of great interest to specialists, due to the careful selection of the topics. In each issue it also publishes one or two clinical cases that are of great interest to the readers, since they are usually exceptional cases that are difficult to diagnose or treat. In the contents of the Journal, priority is given to original research articles on the specialty, which is also its main aim the publication of the best original research articles in Spanish. P-value was established at 0.05 and statistical power at 80%.The Revista Española de Cirugía Ortopédica y Traumatología (Journal of Orthopaedics Surgery and Traumatology) is the official publication of the Spanish Society of Orthopaedic Surgery and Traumatology that has a combined total of 5,000 members, and is the leading Spanish journal of the specialty. Chi-squared test was used for qualitative variables. Mann Whitney U test was used to compare the two independent sample variables. Normal distribution was assessed by Shapiro-Wilk test. Post-surgical variables like antibiotic treatment duration and destination at discharge. Surgical variables such as surgery duration and type of surgery (elective vs urgent). We reviewed presurgical variables, including epidemiological variables (Age, Sex, comorbidities, ASA, Charlson, BMI, alcohol dependency), prosthesis variables (prosthesis type, primary cause of operation, primary TKA surgery center), infection variables (concomitant infection, previous antibiotic treatment, c-reactive protein, synovial WBC count, synovial % PMN, pathogen), KLIC score and CRIME 80 score. Patients were divided into two groups depending on DAIR's outcome according on the Delphi-based multidisciplinary consensus criteria on success after treatment of periprosthetic joint infection. ![]() A retrospective study of 27 DAIRs performed between 2015–2019 to treat late acute TKA infections was carried out. ![]()
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