Single-stage revision for peri-prosthetic shoulder infection: outcomes and results
- Link:
- Autor/in:
- Erscheinungsjahr:
- 2013
- Medientyp:
- Text
- Schlagworte:
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- Adult
- Aged
- Aged, 80 and over
- Arthroplasty, Replacement
- Female
- Follow-Up Studies
- Gram-Positive Bacterial Infections
- Hemiarthroplasty
- Humans
- Joint Prosthesis
- Length of Stay
- Male
- Middle Aged
- Propionibacterium acnes
- Prosthesis-Related Infections
- Reoperation
- Retrospective Studies
- Shoulder Joint
- Staphylococcal Infections
- Staphylococcus epidermidis
- Treatment Outcome
- Beschreibung:
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There have been only a few small studies of patients with an infected shoulder replacement treated with a single-stage exchange procedure. We retrospectively reviewed 35 patients (19 men and 16 women) with a peri-prosthetic infection of the shoulder who were treated in this way. A total of 26 were available for clinical examination; three had died, two were lost to follow-up and four patients had undergone revision surgery. The mean follow-up time was 4.7 years (1.1 to 13.25), with an infection-free survival of 94%. The organisms most commonly isolated intra-operatively were Staphylococcus epidermidis and Propionibacterium acnes; two patients developed a recurrent infection. Three different types of prosthesis were used: a hemiarthroplasty, a hemiarthroplasty with a bipolar head and reverse prosthesis. The mean Constant-Murley score at final follow-up was 43.3 (14 to 90) for patients with a hemiarthroplasty, 56 (40 to 88) for those with a hemiarthroplasty with a bipolar head and 61 (7 to 90) for those with a reverse prosthesis. The mean hospital stay was 10.6 days (5 to 29). Single-stage exchange is a successful and practical treatment for patients with peri-prosthetic infection of the shoulder.
- Lizenz:
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- info:eu-repo/semantics/restrictedAccess
- Quellsystem:
- Forschungsinformationssystem des UKE
Interne Metadaten
- Quelldatensatz
- oai:pure.atira.dk:publications/72eee410-8ff5-46a3-870e-d3c41b575d2c