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Single-stage revision for total shoulder arthroplasty infection. Results at a minimum 2 years follow-up.
Hollier-Larousse, Bernard; Hardy, Alexandre; El Sayed, Faten; Roux, Anne-Laure; Ménigaux, Christophe; Bauer, Thomas; Werthel, Jean-David.
Afiliación
  • Hollier-Larousse B; Service d'orthopédie traumatologique, AP-HP, CHU Ambroise-Paré, Boulogne Billancourt, France. Electronic address: bernard.hollier-larousse@aphp.fr.
  • Hardy A; Service d'orthopédie traumatologique, AP-HP, CHU Ambroise-Paré, Boulogne Billancourt, France.
  • El Sayed F; Infection et Inflammation, université Paris-Saclay, UVSQ, Inserm, Montigny-Le-Bretonneux, France; Microbiology Department, GHU Paris-Saclay, hôpital Ambroise-Paré, AP-HP, Boulogne Billancourt, France.
  • Roux AL; Infection et Inflammation, université Paris-Saclay, UVSQ, Inserm, Montigny-Le-Bretonneux, France.
  • Ménigaux C; Service d'orthopédie traumatologique, AP-HP, CHU Ambroise-Paré, Boulogne Billancourt, France.
  • Bauer T; Service d'orthopédie traumatologique, AP-HP, CHU Ambroise-Paré, Boulogne Billancourt, France.
  • Werthel JD; Service d'orthopédie traumatologique, AP-HP, CHU Ambroise-Paré, Boulogne Billancourt, France.
Orthop Traumatol Surg Res ; 110(5): 103881, 2024 Sep.
Article en En | MEDLINE | ID: mdl-38582223
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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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Reoperación / Infecciones Relacionadas con Prótesis / Artroplastía de Reemplazo de Hombro Límite: Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Orthop Traumatol Surg Res Año: 2024 Tipo del documento: Article Pais de publicación: Francia
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Reoperación / Infecciones Relacionadas con Prótesis / Artroplastía de Reemplazo de Hombro Límite: Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Orthop Traumatol Surg Res Año: 2024 Tipo del documento: Article Pais de publicación: Francia