Evidence map›Paper›PMID 33345240›Full record

ArticleJSES international2020

Infection control and outcome of staged reverse shoulder arthroplasty for the management of shoulder infections.

Sebastian Philipp Boelch, Laura Elisa Streck, Piet Plumhoff, Christian Konrads, Frank Gohlke, Kilian Rueckl

Open access · goldAbstract read
In one paragraph

Article in JSES international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.0field-weighted citation impact, top 13% 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

6 citing papers in PubMed, 14 citations in OpenAlex.

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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

6 authors at 3 institutions in 1 country.

Sebastian Philipp BoelchDepartment of Orthopaedic Surgery, University of Wuerzburg, Koenig-Ludwig-Haus, Wuerzburg, Germany.
Laura Elisa StreckDepartment of Orthopaedic Surgery, University of Wuerzburg, Koenig-Ludwig-Haus, Wuerzburg, Germany.
Piet PlumhoffDepartment of Orthopaedic Surgery, University of Wuerzburg, Koenig-Ludwig-Haus, Wuerzburg, Germany.
Christian KonradsDepartment for Traumatology and Reconstructive Surgery, BG Trauma Center, University of Tübingen, Tübingen, Germany.
Frank GohlkeKlinik für Schulter- und Ellenbogenchirurgie, Rhön-Klinikum, Bad Neustadt/Saale, Germany.
Kilian RuecklDepartment of Orthopaedic Surgery, University of Wuerzburg, Koenig-Ludwig-Haus, Wuerzburg, Germany.
Klinik König-Ludwig Haus · DERhön-Klinikum · DEUniversity of Tübingen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe treatment of septic arthritis, caused by either hematogenous seeding, injections, or surgery, can be challenging. Staged reverse shoulder arthroplasty (RSA) with temporary implantation of an antibiotic-loaded spacer is widely accepted but still discussed controversially. This study investigated the shoulder-specific bacterial spectrum, infection control rate, functional outcome, and infection-free survival rate after staged RSA in the mid- to long-term follow-up. It was hypothesized that staged RSA would show a high infection-free survival rate.

methodsA total of 39 patients treated with staged RSA for primary septic arthritis (n = 8), secondary infection (n = 8), or periprosthetic infection (n = 23) were retrospectively included. The infection control rate was calculated based on cultures taken intraoperatively at spacer removal and RSA implantation. Infection-free survival was defined as no revision due to infection. The minimum follow-up period for functional outcome assessment was 2 years (n = 14; mean, 76 months; range, 31-128 months).

results

conclusionStaged RSA implantation was confirmed to be a reliable treatment option for primary, secondary, and periprosthetic infections of the shoulder. The infection control rate and infection-free survival rate are satisfactory. However, patients and surgeons must be aware of functional impairment even after successful treatment of infections.

Indexed as

outcomeperiprosthetic infectionreverse shoulder arthroplastyshoulder arthroplastyShoulder infectionspacertwo stage

Identifiers

PMID33345240
PMCPMC7738577
OpenAlexW3092363410

What OpenQuestion holds

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Registered trials

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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.