Evidence map›Paper›PMID 41607966›Full record

ArticleCureus2025

Successful One-Stage Revision With Continuous Local Antibiotic Perfusion (CLAP) for Delayed Periprosthetic Joint Infection After Reverse Shoulder Arthroplasty: A Case Report.

Jin Nagasawa, Yoshihiro Hirakawa, Katsumasa Nakazawa, Yoichi Ito, Tomoya Manaka

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Review
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

5 authors.

Jin NagasawaOrthopaedic Surgery, Ishikiriseiki Hospital, Higashiōsaka, JPN.
Yoshihiro HirakawaOrthopaedic Surgery, Ishikiriseiki Hospital, Higashiōsaka, JPN.
Katsumasa NakazawaOrthopaedic Surgery, Osaka Metropolitan University Graduate School of Medicine, Osaka, JPN.
Yoichi ItoOrthopaedic Surgery, Ito Clinic, Osaka Shoulder Center, Matsubara, JPN.
Tomoya ManakaOrthopaedic Surgery, Osaka Metropolitan University Graduate School of Medicine, Osaka, JPN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Periprosthetic joint infection (PJI) is a serious complication following reverse shoulder arthroplasty (RSA). We report a case of delayed PJI after RSA that was successfully treated with one-stage revision surgery combined with continuous local antibiotic perfusion (CLAP). A 72-year-old man with diabetes underwent RSA for cuff tear arthropathy at another hospital 21 months ago. Four months before presentation, he developed pain, swelling, warmth, and discharge from the surgical site, and PJI was diagnosed. Initial debridement, implant exchange, and antibiotic therapy were attempted at the previous hospital; however, the infection persisted, prompting a referral to our institution. On admission, wound drainage was observed; blood tests showed WBC 6,400/μL and C-reactive protein (CRP) 0.07 mg/dL. Culture identified extended-spectrum β-lactamase (ESBL)-producing

Indexed as

clapmultidrug-resistant organism (mdro)one-stage revisionperiprosthetic joint infection (pji)reverse shoulder arthroplasty (rsa)

Identifiers

PMID41607966
PMCPMC12846762

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.