Comparison of Debridement, Antibiotic, Implant Retention and Implant Exchange in Early-stage Fracture-related Infections
COMPARISON OF DEBRIDEMENT, ANTIBIOTIC, IMPLANT RETENTION (DAIR) AND IMPLANT EXCHANGE IN EARLY-STAGE FRACTURE-RELATED INFECTIONS: A RETROSPECTİVE COHORT STUDY
Antalya Health Sciences University
75 participants
Apr 16, 2026
OBSERVATIONAL
Conditions
Summary
This study aims to compare the clinical outcomes of debridement, antibiotics, and implant retention (DAIR) and implant removal/replacement methods used in the treatment of fracture-related infections, and to determine the infection-free fracture healing rates and the factors affecting treatment success.
Eligibility
Inclusion Criteria5
- internal fixation after fracture
- presence of fistula and/or sinus tract or purulent drainage with dehiscence at the incision site
- at least 2 positive deep tissue cultures or at least 3 positive soft tissue cultures
- early onset of symptoms (6 weeks)
- DAIR or implant removal/replacement due to fracture-related infection
Exclusion Criteria10
- Under 18 years old patients
- prosthetic joint infection
- only conservative treatment applied
- pathological fracture due to primary bone tumor
- simultaneous infection foci in the same extremity
- fracture-related infection not confirmed by international consensus criteria
- poor reduction after internal fixation
- inappropriate or inadequate internal fixation
- radiological images less than 1 year old
- findings starting late (after 6 weeks)
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Interventions
DAIR: Debridement, antibiotic retention and implant removal
implant removal/replacement
Locations(1)
View Full Details on ClinicalTrials.gov
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NCT07669714