title: Single-stage revision for peri-prosthetic shoulder infection: outcomes and results.
abstract: There have been only a few small studies of patients with an infected shoulder replacement treated with a single-stage exchange procedure. We retrospectively reviewed 35 patients (19 men and 16 women) with a peri-prosthetic infection of the shoulder who were treated in this way. A total of 26 were available for clinical examination; three had died, two were lost to follow-up and four patients had undergone revision surgery. The mean follow-up time was 4.7 years (1.1 to 13.25), with an infection-free survival of 94%. The organisms most commonly isolated intra-operatively were Staphylococcus epidermidis and Propionibacterium acnes; two patients developed a recurrent infection. Three different types of prosthesis were used: a hemiarthroplasty, a hemiarthroplasty with a bipolar head and reverse prosthesis. The mean Constant-Murley score at final follow-up was 43.3 (14 to 90) for patients with a hemiarthroplasty, 56 (40 to 88) for those with a hemiarthroplasty with a bipolar head and 61 (7 to 90) for those with a reverse prosthesis. The mean hospital stay was 10.6 days (5 to 29). Single-stage exchange is a successful and practical treatment for patients with peri-prosthetic infection of the shoulder.
authors: HELIOS ENDO-Klinik Hamburg and University Medical Centre Hamburg-Eppendorf, Orthopaedic Surgery, Holstenstr. 2, 22767 Hamburg, Germany. o.klatte@gmx.de
authors: T O
authors: TO
authors: Klatte
authors: K
authors: K
authors: Junghans
authors: H
authors: H
authors: Al-Khateeb
authors: J M
authors: JM
authors: Rueger
authors: T
authors: T
authors: Gehrke
authors: D
authors: D
authors: Kendoff
authors: J
authors: J
authors: Neumann
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019643:Arthroplasty, Replacement / Q000295:instrumentation / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D016908:Gram-Positive Bacterial Infections / Q000401:mortality / Q000601:surgery*; D062785:Hemiarthroplasty / Q000295:instrumentation / Q000379:methods; D006801:Humans; D007595:Joint Prosthesis / Q000009:adverse effects*; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D011425:Propionibacterium acnes / Q000302:isolation & purification; D016459:Prosthesis-Related Infections / Q000401:mortality / Q000601:surgery*; D012086:Reoperation; D012189:Retrospective Studies; D012785:Shoulder Joint / Q000382:microbiology / Q000473:pathology / Q000601:surgery*; D013203:Staphylococcal Infections / Q000401:mortality / Q000601:surgery; D013212:Staphylococcus epidermidis / Q000302:isolation & purification; D016896:Treatment Outcome