Article ; Online: Single-stage revision for total shoulder arthroplasty infection. Results at a minimum 2 years follow-up.
Orthopaedics & traumatology, surgery & research : OTSR
2024 , Page(s) 103881
Abstract: Introduction: Similar to the management of periprosthetic joint infections of the lower limb, one-stage revision in total shoulder arthroplasty (TSA) infections is an option that has been highlighted in scientific publications since the early 2010s. ... ...
Abstract | Introduction: Similar to the management of periprosthetic joint infections of the lower limb, one-stage revision in total shoulder arthroplasty (TSA) infections is an option that has been highlighted in scientific publications since the early 2010s. However, there are only a few studies which validate this treatment and determine its scope of application in relation to two-stage treatment. Hypothesis: Single-stage revision for infected TSA is a reliable treatment allowing good infection control and satisfactory functional results. Methods: This single-center retrospective series of 34 consecutive patients operated on between 2014 and 2020 for a one-stage prosthetic revision was evaluated at a minimum of 2 years of follow-up. All of the patients included underwent revision shoulder arthroplasty during this period with the diagnosis of infection confirmed by microbiological analysis of surgical samples. Patients who did not benefit from a bipolar revision were excluded. All patients were followed at least 2 years after the intervention. Clinically suspected recurrence of infection was confirmed by a periprosthetic sample under radiographic guidance. Functional clinical outcomes as well as mechanical complications were also reported. Results: The average follow-up was 40.4 months (24-102±21.6). A septic recurrence was observed in three patients (8.8%). A mechanical complication was present in four patients (14.7%), and three (11.8%) required at least one surgical revision. The mean Constant-Murley score at the last follow-up was 49 (42-57±21.83). Discussion: Single-stage revision for shoulder periprosthetic joint infection results in a success rate of 91.2% with satisfactory functional results after more than 2 years of follow-up. Level of evidence: IV; retrospective study. |
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Language | English |
Publishing date | 2024-04-04 |
Publishing country | France |
Document type | Journal Article |
ISSN | 1877-0568 |
ISSN (online) | 1877-0568 |
DOI | 10.1016/j.otsr.2024.103881 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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