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Management of acute PJI commonly involves debridement, antibiotics, and implant retention (DAIR), though failure rates remain high due to antibiotic\u2010tolerant biofilms. Chronic PJI is typically treated with two\u2010stage revision using antibiotic\u2010loaded spacers, but this approach carries substantial morbidity, especially during the interstage period. Preventative strategies include preoperative patient optimization, antibiotic prophylaxis, tranexamic acid, antiseptic skin preparation, and local antibiotic powders and rinses. To improve outcomes, emerging innovations include biofilm\u2010active antimicrobial agents, targeted postoperative antibiotic delivery, intraarticular irrigation protocols, and one\u2010stage revision strategies. While biofilm is a significant contributor to persistent infection, technologies to combat this problem include antibacterial implant surfaces, mechanically disruptive shockwave and magnetic fields, bioactive glass, and induction heating. 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