Abstract
Infection is a rare but severe complication in prosthetic surgery of the shoulder. Data collected from the literature reveals an incidence of about 0.5% (0—3.95%range) for non-cemented prostheses and about 2.9% (0—15.4%range) for cemented prostheses [15]. Due to the low statistical incidence and the low total number of cases, compared to the more common hip and knee prostheses, this experience is limited to few cases and few surgeons. We can, however, forecast that these cases, and possibly the incidence, will increase in future as the number of shoulder arthroplasties is increasing both for arthritis of the glenohumeral joint as well as proximal humeral fractures.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Burkhead WZ, Hutton KS (1994) Biologic resurfacing of the glenoid in young patients with post-traumatic arthritis, post reconstruction arthritis or ostearthritis. Tech Orthop 8:163–170
Coste JS, Reig S et al (2004) The management of infection in arthroplasty of the shoulder. J Bone Joint Surg (Br) 86(1):65–69
De Lima Ramos PA, Martin-Comin J, Bajen MT et al (1996) Simultaneous administration of 99Tcm-HMPAO labelled autologous leukocytes and 111-In labelled non specific polyclonal human immunoglobulin G in bone and joint infections. Nucl Med Commun 17(9):749–757
Demirkol MO, Adalet I et al (1997) 99Tc(m)-polyclonal IgG scintigraphy in the detection of infected hip and knee prostheses. Nucl Med Commun 18(6):543–548
Drobny TK, Munzinger U (1991) Problems of infected knee prosthesis. Orthopade 20(3):239–249
Harle A (1989) Infection management in total hip replacement. Arch Orthop Trauma Surg 108(2):63–71
Ince A, Seemann K, Frommelt L et al (2005) One-stage exchange shoulder arthroplasty for periprosthetic infection. J Bone Joint Surg (Br) 87(6):814–818
Insall JN, Thompson FM, Brause BD (1983) Two-stage reimplantation for the salvage of infected total knee arthroplasty. J Bone Joint Surg (Am) 65(8):1087–1089
Jerosch J, Schneppenheim (2003) Management of infected shoulder replacement. Arch Orthop Trauma Surg 123(5):209–214
Kozak TKW, Hanssen AD, Cofield RH (1997) Infected shoulder arthroplasty. J Shoulder Elbow Surg 6(3):177–185
Petersen SA, Hawkins RJ (1998) Revision of failed total shoulder arthroplasty. Ortho Clin North Am 29(3):519–533
Proubasta IR, Itarte JP, Lamas CG et al (2004) Permanent articulated antibiotic-impregnated cement spacer in septic shoulder arthroplasty. J Orthop Trauma 19(9):666–668
Ramsey ML, Fenlin JM (1996) Use of an antibiotic-impregnated bone cement block in the revision of an infected shoulder arthroplasty. J Shoulder Elbow Surg 5(6):479–482
Rockwood CA, Matsen FA (1990) The Shoulder, W.B.Saunders, Philadelphia
Sawyer JS, Estheray JL (1997) Shoulder infections. In: Warner JP, Iannotti JP, Gerber C (eds) Complex and Revision Problems in Shoulder Surgery, Lippincott-Raven, Philadelphia
Seitz WH, Damacen H (2002) Staged exchange arthroplasty for shoulder sepsis. J Arthroplasty 17(4):36–40
Settecerri JJ, Pitner MA, Rock MG et al (1999) Infection after rotator cuff repair. J Shoulder Elbow Surg 8(1):1–5
Spangehl MJ, Masri BA, O’Connell JX et al (1999) Prospective analysis of preoperative and intraoperative investigations for the diagnosis of infections at the sites of two hundred and two revisions total hip arthroplasties. J Bone Joint Surg (Am) 81(5):672–683
Sperling WJ, Kozak TK, Hanssen Ad et al (2000) Infection after shoulder arthroplasty. Clin Orthop Relat Res (382):206–216
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2007 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Giraldi, A., Pellegrini, A., Romanò, C., Meani, E. (2007). Shoulder Spacer as a Definitive Solution?. In: Meani, E., Romanò, C., Crosby, L., Hofmann, G., Calonego, G. (eds) Infection and Local Treatment in Orthopedic Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-47999-4_40
Download citation
DOI: https://doi.org/10.1007/978-3-540-47999-4_40
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-47998-7
Online ISBN: 978-3-540-47999-4
eBook Packages: MedicineMedicine (R0)