ReviewInternational orthopaedics2011
Management of the infected shoulder prosthesis: a retrospective analysis and review of the literature.
Review in International orthopaedics, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 4 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
23 citing papers in PubMed, 4 syntheses or guidelines pooled it, 86 citations in OpenAlex.
- One- and two-stage surgical revision of infected shoulder prostheses following arthroplasty surgery: A systematic review and meta-analysis.Scientific reports · 2019Pooled it
- Surgical treatment of infected shoulder arthroplasty. A systematic review.International orthopaedics · 2017Pooled it
- What is a "periprosthetic shoulder infection"? A systematic review of two decades of publications.International orthopaedics · 2017Pooled it
- 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 · 2016Pooled it
- One- vs. Two-Stage Revision for Periprosthetic Shoulder Infections: A Systematic Review and Meta-Analysis.Antibiotics (Basel, Switzerland) · 2024Review
- One-stage revision for infected shoulder arthroplasty: prospective, observational study of 37 patients.JSES international · 2023Article
- Clinical Outcomes of Two-Stage Implantation in Reverse Shoulder Arthroplasty for Postinfectious End-Stage Glenohumeral Arthritis in Native Shoulders: A Single-Center Cohort Study with a Minimum 2-Year Follow-up.Clinics in orthopedic surgery · 2023Article
- The role of synovial fluid aspiration in shoulder joint infections.BMC musculoskeletal disorders · 2022Article
- Salvage Procedures of the Shoulder: Glenohumeral Arthrodesis and Resection Arthroplasty.Indian journal of orthopaedics · 2021Review
- Clinical Outcome of Two-Stage Revision after Periprosthetic Shoulder Infection.Journal of clinical medicine · 2021Article
- The management of infected shoulder arthroplasty by two-stage revision.Shoulder & elbow · 2020Article
- Stenotrophomonas maltophilia periprosthetic joint infection after reverse total shoulder arthroplasty.IDCases · 2020Article
- Scoping review: Diagnosis and management of periprosthetic joint infection in shoulder arthroplasty.Shoulder & elbow · 2019Article
- Review
- Staged Revision With Antibiotic Spacers for Shoulder Prosthetic Joint Infections Yields High Infection Control.Clinical orthopaedics and related research · 2018Article
- Periprosthetic shoulder infection: an overview.EFORT open reviews · 2017Review
- Periprosthetic Joint Infection of Shoulder Arthroplasties: Diagnostic and Treatment Options.BioMed research international · 2017Review
- Ten questions on prosthetic shoulder infection.Shoulder & elbow · 2016Review
- Antibiotic-impregnated cement spacer as a definitive treatment for post-arthroscopy shoulder destructive osteomyelitis: case report and review of literature.Strategies in trauma and limb reconstruction · 2013Article
- Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Experience with infected shoulder arthroplasty is limited. Treatment options are either one- or two-stage reimplantation, débridement with retention of the prosthesis, resection arthroplasty or arthrodesis. We retrospectively analysed ten patients with an infected shoulder prosthesis and evaluated the diagnostic and therapeutic management as well as the clinical outcome, assessed by the Constant score, Neer's criteria and the mean abduction ability. We identified an infecting organism before surgery in nine patients. Four patients were treated by two-stage exchange reimplantation, five by resection arthroplasty and one underwent serial débridement combined with vacuum-irrigation therapy. Infection was eradicated in all patients of this series. The mean Constant score in resected patients was 32.7, in patients treated by stage exchange 40.1 (no difference) and we measured 90 points in the patient with retention of the implant. In patients treated by resection arthroplasty, merely the mean abduction yielded a better result (63 vs 31°) than in patients treated by two-stage exchange-with the pain level being identical in both groups. Treatment of infected shoulder implants in patients who often have to deal with concomitant diseases remains unsatisfactory. Two-stage exchange procedures yielded only slightly better functional results than resection arthroplasty, which should be considered in cases of elderly or chronically ill patients because it offers good pain relief. Serial débridement combined with irrigation therapy is a new method which offers good clinical results, however with an unknown risk of persisting infection. The authors recommend isolating the infecting organism prior to surgery to allow the administration of organism-specific antibiotics as early as possible during surgery in order to efficiently eradicate the infection.
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