Targeted intervention of acute postoperative infection after rotator cuff repair results in good functional outcomes

Abstract

Level III.

Successful Revision Arthroscopic Rotator Cuff Repair Is Possible in the Setting of Prior Deep Infection

“…8,10,21 Additionally, a review of the available literature reveals that it was not uncommon for residual RC tears to go unrepaired in the setting of infections treated with multiple debridements. Although Jenssen et al 11 recently reported on the short-term outcomes of arthroscopic debridement of infected RC repairs, 8 of the 10 patients in that series presented with intact RC repairs, and no revision RC repair was attempted in the remaining 2 patients.…”

“…Although a recent case series comprising 11 patients showed that infection may be successfully eradicated with arthroscopic debridement and implant retention, we are unaware of any literature that indicates whether revision arthroscopic RC repair can be successful in the setting of a previous deep infection. 11 The purpose of this case series is to report on clinical outcomes of revision arthroscopic RC repair in the setting of prior deep infection. We hypothesized that arthroscopic rotator cuff reconstruction after debridement with retention of wellfixed implants and antibiotics would result in improved pain and functional outcome scores for patients with deep infection after primary RC repair.…”

Suture and anchors may be retained during treatment of deep infection after rotator cuff repair: a systematic review

“…Jenssen et al 7 evaluated a group of 11 patients who all underwent arthroscopic I & D following arthroscopic RCR. Their most important finding was the eradication of acute postoperative infection following arthroscopic I & D without implant removal in nine (81.82%) patients.…”

“…Jenssen et al 7 cultured P. acnes in 10 of 11 patients studied for deep infection following RCR. Polymicrobial cultures were identified in six of the P. acnes population.…”

Rotator Cuff Tears : Short- and long-term aspects on treatment outcome

“…The large UKUFF-study, published in 2017, with 273 randomised participants from 19 hospitals, did not show a clinically relevant difference between the two techniques in a 2-year follow-up 35 . In clinical praxis, concern with open surgery regarding infections and post-operative deltoid deficiency have been raised, but this does not have support in comparative studies or in large case-series of both methods 13,35,137 .…”