Single-stage revision for peri-prosthetic shoulder infection: outcomes and results
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Single-stage revision for peri-prosthetic shoulder infection: outcomes and results. / Klatte, T O; Junghans, K; Al-Khateeb, H; Rueger, J M; Gehrke, T; Kendoff, D; Neumann, J.
in: BONE JOINT J, Jahrgang 95-B, Nr. 3, 01.03.2013, S. 391-5.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Single-stage revision for peri-prosthetic shoulder infection: outcomes and results
AU - Klatte, T O
AU - Junghans, K
AU - Al-Khateeb, H
AU - Rueger, J M
AU - Gehrke, T
AU - Kendoff, D
AU - Neumann, J
PY - 2013/3/1
Y1 - 2013/3/1
N2 - 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.
AB - 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.
KW - Adult
KW - Aged
KW - Aged, 80 and over
KW - Arthroplasty, Replacement
KW - Female
KW - Follow-Up Studies
KW - Gram-Positive Bacterial Infections
KW - Hemiarthroplasty
KW - Humans
KW - Joint Prosthesis
KW - Length of Stay
KW - Male
KW - Middle Aged
KW - Propionibacterium acnes
KW - Prosthesis-Related Infections
KW - Reoperation
KW - Retrospective Studies
KW - Shoulder Joint
KW - Staphylococcal Infections
KW - Staphylococcus epidermidis
KW - Treatment Outcome
U2 - 10.1302/0301-620X.95B3.30134
DO - 10.1302/0301-620X.95B3.30134
M3 - SCORING: Journal article
C2 - 23450026
VL - 95-B
SP - 391
EP - 395
JO - BONE JOINT J
JF - BONE JOINT J
SN - 2049-4394
IS - 3
ER -