The management of infection in arthroplasty of the shoulder

被引:186
作者
Coste, JS [1 ]
Reig, S [1 ]
Trojani, C [1 ]
Berg, M [1 ]
Walch, G [1 ]
Boileau, P [1 ]
机构
[1] Ctr Hosp Univ, Hop Archet 2, Serv Chirug Orthoped & Traumatol Sport, F-06202 Nice, France
来源
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME | 2004年 / 86B卷 / 01期
关键词
D O I
10.1302/0301-620X.86B1.14089
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
The management and outcome of treatment in 42 patients (49 shoulders) with an infected shoulder prosthesis was reviewed in a retrospective multicentre study of 2343 prostheses. The factors which were analysed included the primary diagnosis, the delay between the diagnosis of infection and treatment and the type of treatment. Treatment was considered to be successful in 30 patients (71%). Previous surgery and radiotherapy were identified as risk factors for the development of infection. All patients with an infected prosthesis had pain and limitation of movement and 88% showed radiological loosening. In 50 % of the shoulders, the antibiotics chosen and the length of treatment were considered not to be optimal. The mean follow-up was 34 months. Antibiotics or debridement alone were ineffective. In acute infection, immediate revision with excision of all infected tissue and exchange of the prosthesis with appropriate antibiotic therapy gave the best results. Multidisciplinary collaboration is recommended.
引用
收藏
页码:65 / 69
页数:5
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