The results of two-stage re-implantation for infected shoulder replacement

• DOI: 10.1302/0301-620x.90b4.20002
• Publication Date: 2008-03-31T21:23:15Z
• Authors: J. P. Strickland; J. W. Sperling; R. H. Cofield
• Keywords: Adult; Male; Reoperation; Prosthesis-Related Infections; Shoulder Joint; Middle Aged; 3. Good health; Arthritis, Rheumatoid; Radiography; 03 medical and health sciences; Treatment Outcome; 0302 clinical medicine; Replantation; Osteoarthritis; Humans; Female; Arthroplasty, Replacement; Range of Motion, Articular; Aged

While frequently discussed as a standard treatment for the management of an infected shoulder replacement, there is little information on outcome two-stage re-implantation. We examined 17 consecutive patients (19 shoulders) who were treated between 1995 and 2004 with re-implantation deep-infection after replacement. All 19 shoulders followed minimum two years or until time further revision surgery. The mean clinical follow-up was 35 months (24 to 80). radiological 27 (7 There excellent results, four satisfactory 13 unsatisfactory. In 12 (63%) infection considered be eradicated. pain score improved from 4.2 (3 5 (out 5)) 1.8 (1 4). elevation 42 degrees (0 140 ) 89 165 ), external rotation 30 90 43 internal sacrum L5. 14 complications. Our study suggests that replacement associated high rate unsatisfactory marginal success at eradicating complication rate.