Risk factors for periprosthetic infection after reverse shoulder arthroplasty

Morris, Brent J.; O’Connor, Daniel P.; Torres, Daniel S García; Elkousy, Hussein; Gartsman, Gary M.; Edwards, T. Bradley

doi:10.1016/j.jse.2014.05.020

Cited by 120 publications

(69 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…34 They found younger age and male gender to be risk factors for an infection, and this is consistent with other studies. 30,34,35 A history of prior trauma or failed hemiarthroplasty has been shown in some studies to be a risk factor. 30,34 Interestingly, smoking, rheumatoid arthritis or obesity did not increase the risk of infection in a single surgeon series when accounting for confounding variables.…”

Section: Infectionmentioning

confidence: 99%

“…30,34 Interestingly, smoking, rheumatoid arthritis or obesity did not increase the risk of infection in a single surgeon series when accounting for confounding variables. 35 The incidence of positive cultures by Propionibacterium acnes is increased in shoulder surgery, but a true understanding of its significance in patients with minor symptoms is lacking. 36 …”

Section: Infectionmentioning

confidence: 99%

See 1 more Smart Citation

Complications in reverse shoulder arthroplasty

et al. 2016

View full text Add to dashboard Cite

The reported rate of complications of reverse shoulder arthroplasty (RSA) seems to be higher than the complication rate of anatomical total shoulder arthroplasty.The reported overall complication rate of primary RSA is approximately 15%; when RSA is used in the revision setting, the complication rate may approach 40%.The most common complications of RSA include instability, infection, notching, loosening, nerve injury, acromial and scapular spine fractures, intra-operative fractures and component disengagement.Careful attention to implant design and surgical technique, including implantation of components in the correct version and height, selection of the best glenosphere-humeral bearing match, avoidance of impingement, and adequate management of the soft tissues will hopefully translate in a decreasing number of complications in the future.Cite this article: Barco R, Savvidou OD, Sperling JW, Sanchez-Sotelo J, Cofield RH. Complications in reverse shoulder arthroplasty. EFORT Open Rev 2016;1:72-80. DOI: 10.1302/2058-5241.1.160003.

show abstract

Section: Infectionmentioning

confidence: 99%

Section: Infectionmentioning

confidence: 99%

Complications in reverse shoulder arthroplasty

et al. 2016

View full text Add to dashboard Cite

show abstract

“…4,9,[13][14][15][16] Risk factors for post-operative infection are prior failed arthroplasty, multiple surgeries, age less than 65 years, instability, haematoma formation and inadequate dead space management. 4,15 Infection occurred at a mean of 22.1 months after RSA, suggesting it is a late complication. This is in keeping with trends seen in the literature where there is an increased incidence of infection after one year.…”

Section: Discussionmentioning

confidence: 99%

Indications for surgical reintervention following reverse shoulder arthroplasty: a retrospective audit from 2006 to 2015

et al. 2017

View full text Add to dashboard Cite

Background: Reverse shoulder arthroplasty (RSA) has increased in popularity and its indications have subsequently been expanded. With its increased use, the complication rates have also increased. Complications requiring additional surgeries have the highest morbidity and cost. The aim of this study was to determine the indications for additional surgery following RSA. Methods: All the surgical and clinical notes of patients treated with an RSA at our institution over a nine-year period were retrospectively reviewed. Sixty-seven RSAs met the inclusion criteria and their records were reviewed to assess their indication for surgery, complications, as well as microbiology results if infection was present. Results: Surgical reintervention was required in 16 (23.9%) RSAs. The prevalence was lowest in rotator cuff arthropathy and glenohumeral arthritis (nine RSAs or 18.4%), followed by failed hemi-or total shoulder arthroplasty (four RSAs or 36.4%) and highest if performed for uncommon conditions (two RSAs or 66.7%). Instability was an early complication, occurring in 10.7% of cases and accounting for 37.8% of all reinterventions. Infection was a late complication, occurring in 6.0% of cases and accounting for 48.6% of all reinterventions. The most common organisms identified were Staphylococcus epididermidis (n=4), Escherichia coli (n=3), Staphylococcus aureus (n=2) and Klebsiella pneumonia (n=2). Conclusions: RSA has the most reliable outcomes if performed for rotator cuff arthropathy and glenohumeral osteoarthritis. Instability and infection are the most common indications for surgical reintervention, and once present, often require repeated surgeries to be successfully treated. These complications should be avoided, as they are major contributors to morbidity and cost.

show abstract

“…Из имевшихся осложнений пара-протезная инфекция стала единственной главной причиной, приведшей к необходимости удале-ния эндопротеза и замены его на ревизионную систему у одной из наших пациенток трудоспо-собного возраста. данный факт косвенно под-тверждает исследование B. Morris с соавторами, в котором на большом клиническом материале (301 Рэпс) при проведении многофакторного ана-лиза было доказано, что возраст пациента (<65 лет, p = 0,02) и предшествующая Рэпс артропла-стика (p = 0,001) являются двумя независимыми факторами риска развития парапротезной ин-фекции [36]. по нашим данным, показатели кли-нико-функциональных шкал, характеризующих пациентов после выполнения Рэпс, имели тен-денцию к ухудшению с увеличением их возраста, но частота развития осложнений при этом была значимо выше в группе физически активных мо-лодых больных.…”

Section: материал и методыunclassified

Outcomes of Reverse Arthroplasty in Patients With Shoulder Arthropathy and Massive Rotator Cuff Tear

Доколин

Варфоломеев

Кузьмина

et al. 2018

Traumatology and Orthopedics of Russia

View full text Add to dashboard Cite

Purpose— to evaluate mid-term outcomes of reverse joint replacement in patients with shoulder arthropathy and massive rotator cuff tear.Material and Methods. Reverse shoulder arthroplasty with delTa xTeNd (depuy) was performed in 38 patients in the period from december 2010 to december 2016 by the same surgical team. patients’ age ranged from 38 to 82 years. Indications for replacement were pain syndrome and pseudoparalysis of the upper limb in presence of a large or massive Rc tear as well as shoulder arthropathy of various severity degree. Outcomes were evaluated by standard aSeS, cS and ucla scales. Roentgenological examination included ap and axial x-rays during follow up from 1 to 6 years after the surgery with analysis of implants positioning. Mean follow up was 24,2±6,6 months.Results. good outcomes were reported in 6 (15,8%) patients. average functional scores were: aSeS 87,4±2,1, ucla 29,7±1,5 and cS 14,0±2,3. Satisfactory outcomes were observed in 27 (14,2%) patients: aSeS 76,2±2,3, ucla 26,8±1,3 and cS 22,0±1,4 scores. poor outcomes were reported in 5 (14,2%) patients with persisting pain syndrome.Conclusion.To avoid significant and multiple complications after reverse shoulder replacement a precise preoperative planning considering particular destructive changes of glenoid fossa is required. For young and physically active patients the authors recommend to use alternative treatment options aiming at restoration of normal shoulder biomechanics and prophylaxis of arthropathy.

show abstract

Risk factors for periprosthetic infection after reverse shoulder arthroplasty

Cited by 120 publications

References 30 publications

Complications in reverse shoulder arthroplasty

Complications in reverse shoulder arthroplasty

Indications for surgical reintervention following reverse shoulder arthroplasty: a retrospective audit from 2006 to 2015

Outcomes of Reverse Arthroplasty in Patients With Shoulder Arthropathy and Massive Rotator Cuff Tear

Contact Info

Product

Resources

About