Antiseptic Irrigation Solutions Used in Total Joint Arthroplasty: A Critical Analysis Review.

JBJS Rev · Mar 01 2022 · Review

Christopher ZK, Deckey DG, Pollock JR, Spangehl MJ

Department of Orthopedic Surgery, Mayo Clinic, Phoenix, Arizona

Adult Reconstruction

SUMMARY — THE REDUCTIONThis review finds low-pressure povidone-iodine irrigation has the strongest evidence for preventing periprosthetic joint infection, while sequential multi-solution irrigation may help in treatment, though prospective data remain limited.
Abstract, as published

»: There are limited data that directly compare the efficacy of antiseptic irrigation solutions used for the prevention and treatment of periprosthetic joint infections in orthopaedic procedures; there is a notable lack of prospective data.

»: For prevention of periprosthetic joint infections, the strongest evidence supports the use of low-pressure povidone-iodine.

»: For the treatment of periprosthetic joint infections, delivering multiple solutions sequentially may be beneficial.

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