Permanent Articulated Antibiotic-Impregnated Cement Spacer in Septic Shoulder Arthroplasty

Proubasta, I.; Itarte, J.; Lamas, C.; Escribá, I.

doi:10.1097/01.bot.0000153448.80988.dc

Cited by 27 publications

(22 citation statements)

References 13 publications

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“…Infection after primary shoulder arthroplasty ranges from 1% 10% after revision surgery [1][2][3][4][5][6][7]. For subacute and chronic periprosthetic shoulder infection, there is controversy about the best treatment strategy.…”

Section: Introductionmentioning

confidence: 99%

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

Romanò

Borens

Monti

et al. 2012

International Orthopaedics (SICOT)

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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.

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Section: Introductionmentioning

confidence: 99%

“…Proubasta et al proposed the use of a permanent antibiotic-impregnated cement spacer in the septic shoulder after arthroplasty. They stated that this could be a valid treatment option in the elderly, low-demand patient [7]. Themislocleous et al recently published their series of 11 patients with a permanent cement spacer.…”

Section: Introductionmentioning

confidence: 99%

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

Romanò

Borens

Monti

et al. 2012

International Orthopaedics (SICOT)

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“…22,23,28,31 Recently 1-stage revision has been brought forward as an acceptable alternative. 1,8,14 Resection arthroplasty 2,10,16,21,25,26,33 and arthrodesis 27,34 are possible alternatives for treatment.…”

mentioning

confidence: 99%

“…More recently, resection has been advocated as a salvage procedure for shoulder infection in the elderly, low-demand patient with poor physical condition. 2,10,21, 26 Proubasta et al 25 proposed the use of a permanent antibiotic-impregnated cement spacer in the septic shoulder after resection arthroplasty. Themistocleous et al 33 recently published their series of 11 patients with a permanent cement spacer.…”

mentioning

confidence: 99%

Resection arthroplasty of the shoulder as a salvage procedure for deep shoulder infection: does the use of a cement spacer improve outcome?

Verhelst

Stuyck

Bellemans

et al. 2011

Journal of Shoulder and Elbow Surgery

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“…Coste et al [57] stated that antibiotics or debridement alone are ineffective. Rarely, arthrodesis or even amputation have been used [31,[52][53][54][56][57][58][59][60][61][62].…”

Section: Infectionmentioning

confidence: 99%

Shoulder arthroplasty

2008

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Shoulder prostheses are now commonly used. Clinical results and patient satisfaction are usually good. The most commonly used types are humeral hemiarthroplasty, unconstrained total shoulder arthroplasty, and semiconstrained inversed shoulder prosthesis. Complications of shoulder arthroplasty depend on the prosthesis type used. The most common complications are prosthetic loosening, glenohumeral instability, periprosthetic fracture, rotator cuff tears, nerve injury, infection, and deltoid muscle dysfunction. Standard radiographs are the basis of both pre- and postoperative imaging. Skeletal scintigraphy has a rather limited role because there is overlap between postoperative changes which may persist for up to 1 year and early loosening and infection. Sonography is most commonly used postoperatively in order to demonstrate complications (hematoma and abscess formation) but may also be useful for the demonstration of rotator cuff tears occurring during follow-up. CT is useful for the demonstration of bone details both pre- and postoperatively. MR imaging is mainly used preoperatively, for instance for demonstration of rotator cuff tears.

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Permanent Articulated Antibiotic-Impregnated Cement Spacer in Septic Shoulder Arthroplasty

Cited by 27 publications

References 13 publications

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

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

Resection arthroplasty of the shoulder as a salvage procedure for deep shoulder infection: does the use of a cement spacer improve outcome?

Shoulder arthroplasty

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