ABSTRACT
Background
The development of a pelvic wound infection in the presence of hardware after open
reduction and internal fixation presents a clinical dilemma and there is little literature
to aid in decision-making. The purpose of this study was to describe the possibility
of debridement, antibiotic pearls and retention of the implant (DAPRI) procedure to
eradicate the infection.
Methods
Tumor-like debridement, antibiotic pearls and retention of the implant (DAPRI) aimed
to remove the biofilm allowing a higher and prolonged local antibiotic concentration
by using calcium sulfate antibiotic-added beads. Wound status, radiological signs
of bone healing, gait and functional activity of the patient were evaluated.
Results
Seven patients underwent this technique. The mean follow up time was nine months (range:
6 -16 months). Complete wound healing was achieved in all the patients with no major
complications. Average time of bony union was 4.3 months (range: 3-6 months) with
no need for implant removal.
Conclusion
The DAPRI technique might represent a safe and more conservative treatment for management
of early fracture-related infections (FRI) of the pelvis and acetabulum.
Keywords
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Article info
Publication history
Accepted:
January 22,
2023
Publication stage
In Press Journal Pre-ProofFootnotes
Level of evidence: 4
Identification
Copyright
© 2023 Elsevier Ltd. All rights reserved.
