Does exchange arthroplasty of an infected shoulder prosthesis provide better eradication rate and better functional outcome, compared to a permanent spacer or resection arthroplasty? a systematic review

BMC Musculoskeletal Disorders
D A GeorgeC L Romanò

Abstract

The best surgical modality for treating chronic periprosthetic shoulder infections has not been established, with a lack of randomised comparative studies. This systematic review compares the infection eradication rate and functional outcomes after single- or two-stage shoulder exchange arthroplasty, to permanent spacer implant or resection arthroplasty. Full-text papers and those with an abstract in English published from January 2000 to June 2014, identified through international databases, such as EMBASE and PubMed, were reviewed. Those reporting the success rate of infection eradication after a single-stage exchange, two-stage exchange, resection arthroplasty or permanent spacer implant, with a minimum follow-up of 6 months and sample size of 5 patients were included. Eight original articles reporting the results after resection arthroplasty (n = 83), 6 on single-stage exchange (n = 75), 13 on two-stage exchange (n = 142) and 8 papers on permanent spacer (n = 68) were included. The average infection eradication rate was 86.7 % at a mean follow-up of 39.8 months (SD 20.8) after resection arthroplasty, 94.7 % at 46.8 months (SD 17.6) after a single-stage exchange, 90.8 % at 37.9 months (SD 12.8) after two-stage exchange, and ...Continue Reading

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Citations

Feb 2, 2018·Clinical Orthopaedics and Related Research·Florian GrubhoferChristian Gerber
Mar 21, 2018·Journal of Orthopaedic Surgery and Research·Carlos TorrensAlbert Alier
Jan 18, 2018·Archives of Orthopaedic and Trauma Surgery·Antonio PellegriniEnzo Meani
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Jan 21, 2020·Current Reviews in Musculoskeletal Medicine·Alexander R MarkesC Benjamin Ma
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Dec 22, 2019·Orthopaedics & Traumatology, Surgery & Research : OTSR·Florence AïmSimon Marmor
Jan 14, 2021·Journal of Clinical Medicine·Sebastian KlingebielCarolin Rickert
Apr 26, 2021·Journal of Shoulder and Elbow Surgery·Laura LemmensWillem-Jan Metsemakers

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Methods Mentioned

BETA
total arthroplasty
lavage
amputation

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