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CC BY-NC-ND 4.0 · Joints 2018; 06(03): 173-176
DOI: 10.1055/s-0038-1675800
Review Article
Georg Thieme Verlag KG Stuttgart · New York

Diagnosis and Treatment of Infected Shoulder Arthroplasty: Current Concepts Review

Giulio Maria Marcheggiani Muccioli
1   II Orthopaedic and Traumatologic Clinic, Istituto Ortopedico Rizzoli, Bologna, Italy
,
Enrico Guerra
2   Shoulder and Elbow Unit, Istituto Ortopedico Rizzoli, Bologna, Italy
,
Tommaso Roberti di Sarsina
1   II Orthopaedic and Traumatologic Clinic, Istituto Ortopedico Rizzoli, Bologna, Italy
,
Domenico Alesi
1   II Orthopaedic and Traumatologic Clinic, Istituto Ortopedico Rizzoli, Bologna, Italy
,
Stefano Fratini
1   II Orthopaedic and Traumatologic Clinic, Istituto Ortopedico Rizzoli, Bologna, Italy
,
Eugenio Cammisa
1   II Orthopaedic and Traumatologic Clinic, Istituto Ortopedico Rizzoli, Bologna, Italy
,
Vito Gaetano Rinaldi
1   II Orthopaedic and Traumatologic Clinic, Istituto Ortopedico Rizzoli, Bologna, Italy
,
Giada Lullini
3   Laboratory of Movement Analysis and Functional-Clinical Evaluation of Prosthesis, Istituto Ortopedico Rizzoli, Bologna, Italy
,
Roberto Rotini
2   Shoulder and Elbow Unit, Istituto Ortopedico Rizzoli, Bologna, Italy
,
Stefano Zaffagnini
1   II Orthopaedic and Traumatologic Clinic, Istituto Ortopedico Rizzoli, Bologna, Italy
› Institutsangaben
Weitere Informationen

Publikationsverlauf

02. März 2018

07. Oktober 2018

Publikationsdatum:
10. Dezember 2018 (online)

   Lizenzen und Reprints

Abstract

Periprosthetic shoulder infection (PSI) is an emerging pathology which requires many improvements in diagnosis and treatment to obtain a satisfying success rate. Different approaches have been described. This article summarizes current concepts of diagnostic process and main treatments described in the literature.

Keywords

infection - shoulder - prosthesis - diagnosis - treatment
 

  • References

  • 1 . Report of R.I.P.O: regional register of orthopaedic prosthetic implantology. Available at: https://ripo.cineca.it/pdf/relazione_2016_v19_inglese.pdf . Accessed February 22, 2018
    PubMed
  • 2 Boileau P, Sinnerton RJ, Chuinard C, Walch G. Arthroplasty of the shoulder. J Bone Joint Surg Br 2006; 88 (05) 562-575
    PubMedGoogle Scholar
  • 3 Coste JS, Reig S, Trojani C, Berg M, Walch G, Boileau P. The management of infection in arthroplasty of the shoulder. J Bone Joint Surg Br 2004; 86 (01) 65-69
    CrossrefPubMedGoogle Scholar
  • 4 Haines JF, Trail IA, Nuttall D, Birch A, Barrow A. The results of arthroplasty in osteoarthritis of the shoulder. J Bone Joint Surg Br 2006; 88 (04) 496-501
    PubMedGoogle Scholar
  • 5 Sperling JW, Kozak TK, Hanssen AD, Cofield RH. Infection after shoulder arthroplasty. Clin Orthop Relat Res 2001; (382) 206-216
    PubMedGoogle Scholar
  • 6 Topolski MS, Chin PYK, Sperling JW, Cofield RH. Revision shoulder arthroplasty with positive intraoperative cultures: the value of preoperative studies and intraoperative histology. J Shoulder Elbow Surg 2006; 15 (04) 402-406
    CrossrefPubMedGoogle Scholar
  • 7 Wirth MA, Rockwood Jr CA. Complications of total shoulder-replacement arthroplasty. J Bone Joint Surg Am 1996; 78 (04) 603-616
    CrossrefPubMedGoogle Scholar
  • 8 Zeller V, Ghorbani A, Strady C, Leonard P, Mamoudy P, Desplaces N. Propionibacterium acnes: an agent of prosthetic joint infection and colonization. J Infect 2007; 55 (02) 119-124
    CrossrefPubMedGoogle Scholar
  • 9 Weber P, Utzschneider S, Sadoghi P, Andress H-J, Jansson V, Müller PE. Management of the infected shoulder prosthesis: a retrospective analysis and review of the literature. Int Orthop 2011; 35 (03) 365-373
    CrossrefPubMedGoogle Scholar
  • 10 Mook WR, Garrigues GE. Diagnosis and management of periprosthetic shoulder infections. J Bone Joint Surg Am 2014; 96 (11) 956-965
    CrossrefPubMedGoogle Scholar
  • 11 Sperling JW, Cofield RH, Torchia ME, Hanssen AD. Infection after shoulder instability surgery. Clin Orthop Relat Res 2003; (414) 61-64
    PubMedGoogle Scholar
  • 12 Themistocleous G, Zalavras C, Stine I, Zachos V, Itamura J. Prolonged implantation of an antibiotic cement spacer for management of shoulder sepsis in compromised patients. J Shoulder Elbow Surg 2007; 16 (06) 701-705
    CrossrefPubMedGoogle Scholar
  • 13 Brems JJ. Complications of shoulder arthroplasty: infections, instability, and loosening. Instr Course Lect 2002; 51: 29-39
    PubMedGoogle Scholar
  • 14 Pottinger P, Butler-Wu S, Neradilek MB. , et al. Prognostic factors for bacterial cultures positive for Propionibacterium acnes and other organisms in a large series of revision shoulder arthroplasties performed for stiffness, pain, or loosening. J Bone Joint Surg Am 2012; 94 (22) 2075-2083
    CrossrefPubMedGoogle Scholar
  • 15 Jerosch J, Schneppenheim M. Management of infected shoulder replacement. Arch Orthop Trauma Surg 2003; 123 (05) 209-214
    CrossrefPubMedGoogle Scholar
  • 16 Parvizi J, Zmistowski B, Berbari EF. , et al. New definition for periprosthetic joint infection: from the Workgroup of the Musculoskeletal Infection Society. Clin Orthop Relat Res 2011; 469 (11) 2992-2994
    CrossrefPubMedGoogle Scholar
  • 17 Bauer TW, Parvizi J, Kobayashi N, Krebs V. Diagnosis of periprosthetic infection. J Bone Joint Surg Am 2006; 88 (04) 869-882
    PubMedGoogle Scholar
  • 18 Hackett Jr DJ, Crosby LA. Evaluation and treatment of the infected shoulder arthroplasty. Bull Hosp Jt Dis (2013) 2013; 71 (Suppl. 02) 88-93
    PubMedGoogle Scholar
  • 19 Strickland JP, Sperling JW, Cofield RH. The results of two-stage re-implantation for infected shoulder replacement. J Bone Joint Surg Br 2008; 90 (04) 460-465
    PubMedGoogle Scholar
  • 20 Coffey MJ, Ely EE, Crosby LA. Treatment of glenohumeral sepsis with a commercially produced antibiotic-impregnated cement spacer. J Shoulder Elbow Surg 2010; 19 (06) 868-873
    CrossrefPubMedGoogle Scholar
  • 21 Klatte TO, Junghans K, Al-Khateeb H. , et al. Single-stage revision for peri-prosthetic shoulder infection: outcomes and results. Bone Joint J 2013; 95-B (03) 391-395
    CrossrefPubMedGoogle Scholar
  • 22 Romanò CL, Borens O, Monti L, Meani E, Stuyck J. What treatment for periprosthetic shoulder infection? Results from a multicentre retrospective series. Int Orthop 2012; 36 (05) 1011-1017
    CrossrefPubMedGoogle Scholar
  • 23 Mileti J, Sperling JW, Cofield RH. Reimplantation of a shoulder arthroplasty after a previous infected arthroplasty. J Shoulder Elbow Surg 2004; 13 (05) 528-531
    CrossrefPubMedGoogle Scholar
  • 24 Prosthesis of antibiotic-loaded acrylic cement (PROSTALAC) Use for the treatment of infection after shoulder arthroplasty. JBJS 2004; 93 (21) 2001-2009
    PubMedGoogle Scholar
  • 25 Seitz WH. Jr., Damacen H. Staged exchange arthroplasty for shoulder sepsis. J Arthroplast 2002; 17 (4, Suppl 1): 36-40
    CrossrefPubMedGoogle Scholar
  • 26 Sabesan VJ, Ho JC, Kovacevic D, Iannotti JP. Two-stage reimplantation for treating prosthetic shoulder infections. Clin Orthop Relat Res 2011; 469 (09) 2538-2543
    CrossrefPubMedGoogle Scholar
  • 27 Jawa A, Shi L, O'Brien T. , et al. Prosthesis of antibiotic-loaded acrylic cement (PROSTALAC) use for the treatment of infection after shoulder arthroplasty. J Bone Joint Surg Am 2011; 93 (21) 2001-2009
    CrossrefPubMedGoogle Scholar
  • 28 Buchalter DB, Mahure SA, Mollon B, Yu S, Kwon YW, Zuckerman JD. Two-stage revision for infected shoulder arthroplasty. J Shoulder Elbow Surg 2017; 26 (06) 939-947
    CrossrefPubMedGoogle Scholar
  • 29 Marcheggiani Muccioli GM, Huri G, Grassi A. , et al. Surgical treatment of infected shoulder arthroplasty. A systematic review. Int Orthop 2017; 41 (04) 823-830
    CrossrefPubMedGoogle Scholar
  • 30 Ortmaier R, Resch H, Hitzl W, Mayer M, Stundner O, Tauber M. Treatment strategies for infection after reverse shoulder arthroplasty. Eur J Orthop Surg Traumatol 2014; 24 (05) 723-731
    CrossrefPubMedGoogle Scholar
  • 31 Rispoli DM, Sperling JW, Athwal GS, Schleck CD, Cofield RH. Pain relief and functional results after resection arthroplasty of the shoulder. J Bone Joint Surg Br 2007; 89 (09) 1184-1187
    CrossrefPubMedGoogle Scholar