Management of deep postoperative shoulder infections: Is there a role for open biopsy during staged treatment?

Journal of Shoulder and Elbow Surgery

Volumn 24, Issue 1, 2015, Pages e15-e20

  Zhang, Alan L ^a   Feeley, Brian T ^a   Schwartz, Brian S ^a   Chung, Teddy T ^a   Ma, C Benjamin ^a  

^a UNIVERSITY OF CALIFORNIA   (United States)

Author keywords

Deep shoulder infection; Open biopsy; Recurrent infection; Shoulder arthroplasty

Indexed keywords

ANTIBIOTIC AGENT; ANTIINFECTIVE AGENT; BONE CEMENT;

ADULT; AGED; ANTIBIOTIC THERAPY; ARTICLE; BACTERIAL VIRULENCE; BACTERIUM ISOLATION; BIOPSY; CEMENT SPACER; CLINICAL ARTICLE; DEBRIDEMENT; DISEASE ERADICATION; FEMALE; FOLLOW UP; HUMAN; HUMAN TISSUE; MALE; MIDDLE AGED; OPEN BIOPSY; OPERATING ROOM; OSTEOMYELITIS; PATIENT HISTORY OF SURGERY; PERIARTICULAR OSTEOMYELITIS; PERIPROSTHETIC JOINT INFECTION; PERSISTENT INFECTION; POSTOPERATIVE INFECTION; PRIORITY JOURNAL; PROPIONIBACTERIUM ACNES; RECURRENT INFECTION; SHOULDER ARTHROPLASTY; SHOULDER PROSTHESIS; STAPHYLOCOCCUS AUREUS; STAPHYLOCOCCUS EPIDERMIDIS; TREATMENT DURATION; VERY ELDERLY; ADVERSE EFFECTS; ARTHROPLASTY; DEVICE REMOVAL; LAVAGE; MICROBIOLOGY; PROSTHESIS-RELATED INFECTIONS; REOPERATION; RETROSPECTIVE STUDY; SHOULDER; SURGERY;

AGED; AGED, 80 AND OVER; ANTI-BACTERIAL AGENTS; ARTHROPLASTY, REPLACEMENT; BIOPSY; BONE CEMENTS; DEBRIDEMENT; DEVICE REMOVAL; FEMALE; HUMANS; MALE; MIDDLE AGED; OSTEOMYELITIS; PROSTHESIS-RELATED INFECTIONS; REOPERATION; RETROSPECTIVE STUDIES; SHOULDER JOINT; THERAPEUTIC IRRIGATION;

EID: 84924957158     PISSN: 10582746     EISSN: 15326500     Source Type: Journal    
DOI: 10.1016/j.jse.2014.04.007     Document Type: Article

References (20)

1. Bohsali K.I., Wirth M.A., Rockwood C.A. Complication of total shoulder arthroplasty. J Bone Joint Surg Am 2006, 88:2279-2292. 10.2106/JBJS.F.00125.
2. Boileau P., Sinnerton R.J., Chuinard C., Walch G. Arthroplasty of the shoulder. J Bone Joint Surg Br 2006, 88:562-575. 10.1302/0301-620X.88B5.16466.
3. Cheung E.V., Sperling J.W., Cofield R.H. Infection associated with hematoma formation after shoulder arthroplasty. Clin Orthop Relat Res 2008, 466:1363-1367. 10.1007/s11999-008-0226-3.
4. Coffey M.J., Ely E.E., Crosby L.A. Treatment of glenohumeral sepsis with a commercially produced antibiotic-impregnated cement spacer. J Shoulder Elbow Surg 2010, 19:868-873. 10.1016/j.jse.2010.01.012.
5. Coste J.S., 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, 86:65-69. 10.1302/0301-620X.86B1.14089.
6. Cuff D., Pupello D., Virani N., Levy J., Frankle M. Reverse shoulder arthroplasty for the treatment of rotator cuff deficiency. J Bone Joint Surg Am 2008, 90:1244-1251. 10.2106/JBJS.G.00775.
7. Dodson C.C., Craig E.V., Cordasco F.A., Dines D.M., Dines J.S., Dicarlo E., et al. Propionibacterium acnes infection after shoulder arthroplasty: a diagnostic challenge. J Shoulder Elbow Surg 2010, 19:303-307. 10.1016/j.jse.2009.07.065.
8. Farshad M., Gerber C. Reverse total shoulder arthroplasty-from the most to the least common complication. Int Orthop 2010, 34:1075-1082. 10.1007/s00264-010-1125-2.
9. Franceschini V., Chillemi C. Periprosthetic shoulder infection. Open Ortho J 2013, 7:243-249. 10.2174/1874325001307010243.
10. Fehringer E.V., Mikuls T.R., Michaud K.D., Henderson W.G., O'Dell J.R. Shoulder arthroplasties have fewer complications than hip or knee arthroplasties in US veterans. Clin Orthop Relat Res 2010, 468:717-722. 10.1007/s11999-009-0996-2.
11. Gálvez-López R., Peña-Monje A., Antelo-Lorenzo R., Guardia-Olmedo J., Moliz J., Hernández-Quero J., et al. Elution kinetics, antimicrobial activity, and mechanical properties of 11 different antibiotic loaded acrylic bone cement. Diagn Microbiol Infect Dis 2014, 78:70-74. 10.1016/j.diagmicrobio.2013.09.014.
12. Grosso M.J., Frangiamore S.J., Ricchetti E.T., Bauer T.W., Iannotti J.P. Sensitivity of frozen section histology for identifying Propionibacterium acnes infections in revision shoulder arthroplasty. J Bone Joint Surg Am 2014, 96:442-447. 10.2106/JBJS.M.00258.
13. Jerosch J., Schneppenheim M. Management of infected shoulder replacement. Arch Orthop Trauma Surg 2003, 123:209-214.
14. Kim S.H., Wise B.L., Zhang Y., Szabo R.M. Increasing incidence of shoulder arthroplasty in the United States. J Bone Joint Surg Am 2011, 93:2249-2254. 10.2106/JBJS.J.01994.
15. Levy O., Iyer S., Atoun E., Peter N., Hous N., Cash D., et al. Propionibacterium acnes: an underestimated etiology in the pathogenesis of osteoarthritis?. J Shoulder Elbow Surg 2013, 22:505-511. 10.1016/j.jse.2012.07.007.
16. Romanò C.L., Borens O., Monti L., Meani E., Stuyck J. What treatment for periprosthetic shoulder infection? Results from a multicentre retrospective series. Int Orthop 2012, 36:1011-1017. 10.1007/s00264-012-1492-y.
17. Singh J.A., Sperling J.W., Schleck C., Harmsen W.S., Cofield R.H. Periprosthetic infections after total shoulder arthroplasty: a 33-year perspective. J Shoulder Elbow Surg 2012, 21:1534-1541. 10.1016/j.jse.2012.01.006.
18. Strickland J.P., Sperling J.W., Cofield R.H. The results of two-stage re-implantation for infected shoulder replacement. J Bone Joint Surg Br 2008, 90:460-465. 10.1302/0301-620X.90B4.20002.
19. Weber P., Utzschneider S., Sadoghi P., Pietschmann M.F., Ficklscherer A., Jansson V., et al. Management of the infected shoulder prosthesis: a retrospective analysis and review of the literature. Int Orthop 2011, 35:365-373. 10.1007/s00402-011-1404-4.
20. 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, 55:119-124. 10.1016/j.jinf.2007.02.006.