[One-stage revision of shoulder arthroplasty in the case of periprosthetic infection].
OBJECTIVE
Infection of shoulder arthroplasties is rare, but represents a potentially devastating complication. The aim of this work is to show the value of various diagnostic procedures, specify causative pathogens and present the results of one-stage revised patients.


METHODS
We performed a retrospective analysis of our 16 consecutive patients with an infected shoulder arthroplasty.


RESULTS
In 13 of 16 cases a causative pathogen could be established preoperatively. Staphylococcus and Propioni spp. dominated. Only 9 patients could be followed up because two died, two were lost and three patients were revised because of non-infectious complications. The follow-up time was 5.8 years (13 months-13.25 years). The Constant-Murley score was 33.6 of 100. Eradication of infection was achieved in all patients. In the follow-up time no reinfection has occurred.


CONCLUSIONS
Culturing of the preoperative joint fluid aspirate and the determination of CRP provide an early diagnosing of shoulder arthroplasty infection. One-stage revision arthroplasty with radical debridement and application of antibiotics to the bone cement provide an accurate therapy of periprosthetic shoulder infection.
ENDO-Klinik Hamburg, Orthopädische Chirurgie, Research Unit, Hamburg. akif_ince@hotmail.com
A
A
Ince
K
K
Seemann
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L
Frommelt
A
A
Katzer
J F
JF
Löhr
D000368:Aged; D000369:Aged, 80 and over; D001178:Arthroplasty / Q000009:adverse effects / Q000379:methods*; D001424:Bacterial Infections / Q000175:diagnosis* / Q000209:etiology / Q000517:prevention & control / Q000601:surgery*; D005260:Female; D006801:Humans; D007595:Joint Prosthesis / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D011475:Prosthesis Failure; D016459:Prosthesis-Related Infections / Q000175:diagnosis* / Q000209:etiology / Q000517:prevention & control / Q000601:surgery*; D012086:Reoperation / Q000379:methods; D012189:Retrospective Studies; D016896:Treatment Outcome