Evidence map›Paper›PMID 33343718›Full record

ArticleShoulder & elbow2020

The management of infected shoulder arthroplasty by two-stage revision.

Matthew Brown, Kelechi Eseonu, Will Rudge, Simon Warren, Addie Majed, Ian Bayley, Deborah Higgs, Mark Falworth

Open access · greenAbstract read
In one paragraph

Article in Shoulder & elbow, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.5field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 14 citations in OpenAlex.

  1. Clinics in orthopedic surgery · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Matthew BrownDepartment of Shoulder & Elbow Surgery, Royal National Orthopaedic Hospital, Stanmore, UK.ORCID https://orcid.org/0000-0002-8588-5404
Kelechi EseonuDepartment of Shoulder & Elbow Surgery, Royal National Orthopaedic Hospital, Stanmore, UK.
Will RudgeDepartment of Shoulder & Elbow Surgery, Royal National Orthopaedic Hospital, Stanmore, UK.
Simon WarrenDepartment of Shoulder & Elbow Surgery, Royal National Orthopaedic Hospital, Stanmore, UK.ORCID https://orcid.org/0000-0001-6857-6303
Addie MajedDepartment of Shoulder & Elbow Surgery, Royal National Orthopaedic Hospital, Stanmore, UK.
Ian BayleyDepartment of Shoulder & Elbow Surgery, Royal National Orthopaedic Hospital, Stanmore, UK.
Deborah HiggsDepartment of Shoulder & Elbow Surgery, Royal National Orthopaedic Hospital, Stanmore, UK.
Mark FalworthDepartment of Shoulder & Elbow Surgery, Royal National Orthopaedic Hospital, Stanmore, UK.
Royal National Orthopaedic Hospital · GBThe Royal Free Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere remains no gold standard management for deep shoulder periprosthetic joint infection (PJI). This case series aims to present our experience of two-stage revision arthroplasty, including eradication of infection and reoperation rates.

methodsWe retrospectively reviewed patients undergoing revision arthroplasty for shoulder PJI between 2006 and 2015. Cases were confirmed using Musculoskeletal Infection Society (MSIS) and American Academy of Orthopaedic Surgeons (AAOS) guidelines. TSA removal, debridement and irrigation preceded antibiotic-loaded cement spacer insertion and a minimum of six weeks intravenous antibiotics. Reimplantation was performed as a second stage following a negative aspirate.

resultsTwenty-eight patients underwent a first stage procedure (mean age 69 years; 16 male, 12 female). DISCUSSION: Managing complex and late presentation shoulder PJI with two-stage revision is associated with high rates of infection eradication (80%). In the absence of a management consensus, our experience supports two-stage revision arthroplasty for eradicating infection in this complex patient group.

Indexed as

infection eradicationperiprosthetic joint infectionreimplantationrevision shoulder arthroplastytotal shoulder arthroplastytotal shoulder replacementtwo-stage revision arthroplasty

Identifiers

PMID33343718
PMCPMC7726183
OpenAlexW2940173874

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.