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Journal of Bone and Joint Surgery - British Volume, Vol 86-B, Issue 1,
65-69.
doi: 10.1302/0301-620X.86B1.14089 Copyright © 2004 by British Editorial Society of Bone and Joint Surgery The management of infection in arthroplasty of the shoulderJ. S. Coste, MD, Orthopaedic Surgeon; S. Reig, MD, Orthopaedic Surgeon; C. Trojani, MD, Orthopaedic Surgeon; M. Berg, MD, PhD, Orthopaedic Surgeon; G. Walch, MD, Orthopaedic Surgeon; and P. Boileau, MD, Professor in Orthopaedic SurgeryService de Chirugie Orthopédique et Traumatologie du Sport, Hôpital de l’Archet II, Centre Hospitalier Universitaire de Nice, BP 3079, 06202 Nice, France. Correspondence should be sent to Professor P. Boileau. The management and outcome of treatment in 42 patients (49 shoulders) with an infected shoulder prosthesis was reviewed in a retrospective multicentre study of 2343 prostheses. The factors which were analysed included the primary diagnosis, the delay between the diagnosis of infection and treatment and the type of treatment. Treatment was considered to be successful in 30 patients (71%). Previous surgery and radiotherapy were identified as risk factors for the development of infection. All patients with an infected prosthesis had pain and limitation of movement and 88% showed radiological loosening. In 50% of the shoulders, the antibiotics chosen and the length of treatment were considered not to be optimal. The mean follow-up was 34 months. Antibiotics or debridement alone were ineffective. In acute infection, immediate revision with excision of all infected tissue and exchange of the prosthesis with appropriate antibiotic therapy gave the best results. Multidisciplinary collaboration is recommended. This article has been cited by other articles:
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