Open AccessAdvanced septic arthritis of the shoulder treated by a two-stage arthroplasty
Author(s) -
Patrick Goetti,
Nicolas Gallusser,
Alexander Antoniadis,
Diane Wernly,
Frédéric Vauclair,
Olivier Borens
Publication year - 2019
Publication title -
world journal of orthopedics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.76
H-Index - 43
ISSN - 2218-5836
DOI - 10.5312/wjo.v10.i10.356
Subject(s) - medicine , septic arthritis , surgery , rotator cuff , synovectomy , arthroplasty , stage (stratigraphy) , debridement (dental) , concomitant , shoulder joint , dash , arthritis , arthroscopy , rheumatoid arthritis , paleontology , computer science , biology , operating system
The usual treatment of septic shoulder arthritis consists of arthroscopic or open lavage and debridement. However, in patients with advanced osteoarthritic changes and/or massive rotator cuff tendon tears, infection eradication can be challenging to achieve and the functional outcome is often not satisfying even after successful infection eradication. In such cases a two-stage approach with initial resection of the native infected articular surfaces, implantation of a cement spacer before final treatment with a total shoulder arthroplasty in a second stage is gaining popularity in recent years with the data in literature however being still limited.