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Ultrasonic Debridement in Infected Knee Prosthesis an Innovative Approach to Infection Management

Abstract:
Between April 2022 and June 2023, a group of 11 patients with periprosthetic knee infection were treated with ultrasound debridement with Bone Scalpel and Sonic One O.R. (Misonix), an innovative technique that uses high-frequency sound waves to remove necrotic tissue and bacterial biofilm from the bone surface and peripros thetic tissue. Throughout the procedure we wash the surgical field with saline plus iodopovidone diluted in these amounts 500 ml saline + 18 ml iodopovidone for a total of 6 Liters of Solution. All patients showed positive outcomes, with clinical and lab resolution of infection. The approach proved effective in reducing bacterial load and improving tissue healing, representing a promising therapeutic option in the management of periprosthetic knee infections.