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Journal of Bone and Joint Surgery - British Volume, Vol 88-B, Issue 10, 1341-1346.
doi: 10.1302/0301-620X.88B10.17952  
Copyright © 2006 by British Editorial Society of Bone and Joint Surgery
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Single-stage revision of peri-prosthetic infection following total elbow replacement

J. Gille, MD, Resident1; A. Ince, MD, Resident1; O. González, MD, Resident1; A. Katzer, Associate Professor, Staff Surgeon1; and J. F. Loehr, FRCS(C), MD, Professor, Consultant Orthopaedic Surgeon1

1 Endoklinik Hamburg, Holstenstrasse 2, D-22767 Hamburg, Germany.

Correspondence should be sent to Dr J. Gille; e-mail: justus_gille{at}usa.net

This study reviews the predisposing features, the clinical, and laboratory findings at the time of diagnosis and the results of single-stage revision of prosthetic replacement of the elbow for infection.

Deep infection occurred in six of 305 (1.9%) primary total elbow replacements. The mean follow-up after revision was 6.8 years (6 months to 16 years) and the mean age at the time of revision was 62.7 years (56 to 74). All six cases with infection had rheumatoid arthritis and had received steroid therapy. The infective organism was Staphylococcus aureus. Four of the six elbows had a developed radiolucency around one component or the other. Successful single-stage exchange arthroplasty was carried out with antibiotic-loaded cement in five of the six cases. In one, the revision prosthesis had to be removed following recurrence of the infection. The functional result was good in three elbows, fair in one, poor in one and fair in the resection arthroplasty.






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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General