What treatment for periprosthetic shoulder infection? Results from a multicentre retrospective series.

Details

Serval ID
serval:BIB_D909498A281F
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
What treatment for periprosthetic shoulder infection? Results from a multicentre retrospective series.
Journal
International Orthopaedics
Author(s)
Romano C.L., Borens O., Monti L., Meani E., Stuyck J.
ISSN
1432-5195 (Electronic)
ISSN-L
0341-2695
Publication state
Published
Issued date
2012
Peer-reviewed
Oui
Volume
36
Number
5
Pages
1011-1017
Language
english
Notes
Publication types: JOURNAL ARTICLE
Abstract
PURPOSE: Controversy still exists as to the best surgical treatment for periprosthetic shoulder infections. The aim of this multi-institutional study was to review a continuous retrospective series of patients treated in four European centres and to assess the respective eradication rate of various treatment approaches. METHODS: Forty-four patients were available for this retrospective follow-up evaluation. Functional and clinical evaluation of treatment for infection was performed using the Constant-Murley score, visual analogue scale and patient satisfaction Neer score. Erythrocyte sedimentation rate, serum leucocyte count and C-reactive protein were measured and shoulder X-ray examination performed prior to surgery and at the latest follow-up. RESULTS: At a mean follow-up of 41 months (range 24-98), 42 of 44 patients (95.5%) showed no signs of infection recurrence/persistence. Comparable eradication rates were observed after resection arthroplasty (100%; 6/6), two-stage revision (17/17) or permanent antibiotic-loaded spacer implant (93.3%; 14/15). No patient was treated by one-stage revision. On average, both functional and pain scores improved significantly; the worst joint function was observed after resection arthroplasty. CONCLUSIONS: This retrospective analysis conducted on the largest published series of patients to date shows comparable infection eradication rates after two-stage revision, resection arthroplasty or permanent spacer implant for the treatment of septic shoulder prosthesis.
Pubmed
Web of science
Create date
28/05/2012 17:12
Last modification date
20/08/2019 15:58
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