Revision der anatomischen Schulterprothese

Mauch, Frieder; Huth, Jochen

doi:10.1007/s00132-022-04337-3

Cited by 2 publications

(1 citation statement)

References 31 publications

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“…Due to the continuous increase in the number of patients with shoulder joint prosthesis, the question of the best possible therapy for periprosthetic shoulder joint infection (PSI) is becoming increasingly important [71]. In addition to irrigation and debridement, one-or two-stage revision or, alternatively, resection arthroplasty are possible therapeutic options [72].…”

Section: Discussionmentioning

confidence: 99%

One- vs. Two-Stage Revision for Periprosthetic Shoulder Infections: A Systematic Review and Meta-Analysis

Bdeir,

Lerchl,

Hetjens

et al. 2024

Antibiotics

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Periprosthetic shoulder infection (PSI) remains a challenging complication after shoulder arthroplasty. Therapeutic options include one- or two-stage revision, irrigation and debridement, and resection arthroplasty. With our systematic review and meta-analysis, we aimed to compare one- and two-stage revisions for periprosthetic shoulder joint infections and determine the most appropriate therapeutic procedure. We performed an extensive literature search in PubMed, Ovid Medline, Cochrane Library, Web of Science, and CINAHL and filtered out all relevant studies. The meta-analysis was performed using the random-effects model, heterogeneity was analyzed using I2, and publication bias was assessed using the Egger’s test. A total of 8 studies with one-stage revisions, 36 studies with two-stage revisions, and 12 studies with both one-stage and two-stage revisions were included. According to the random-effects model, the reinfection rate for the entirety of the studies was 12.3% (95% Cl: 9.6–15.3), with a low-to-moderate heterogeneity of I2 = 47.72%. The reinfection rate of the one-stage revisions was 10.9%, which was significantly lower than the reinfection rate of the two-stage revisions, which was 12.93% (p = 0.0062). The one-stage revision rate was significantly lower with 1.16 vs. 2.25 revisions in the two-stage revision group (p < 0.0001). The postoperative functional outcome in one-stage-revised patients was comparable but not statistically significant (p = 0.1523). In one- and two-stage revisions, most infections were caused by Cutibacterium acnes. In summary, our systematic review and meta-analysis show the superiority of single-stage revision regarding reinfection and revision rates in periprosthetic shoulder joint infection.

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Section: Discussionmentioning

confidence: 99%

One- vs. Two-Stage Revision for Periprosthetic Shoulder Infections: A Systematic Review and Meta-Analysis

Bdeir,

Lerchl,

Hetjens

et al. 2024

Antibiotics

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Applications of Latissimus Dorsi Grafts in Reverse Shoulder Arthroplasty

Bose,

Ambade,

Bhartiya

et al. 2023

Cureus

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The shoulder joint is a multiaxial joint in the upper body known for its high degree of motion. It is also infamously known for recurrent dislocations compared to other joints. These dislocations are mainly fixed by closed reduction methods like the Hippocrates technique, Stimpson's gravity technique, and the most commonly used modified Kocher's technique. The modified Kocher's technique uses traction followed by external rotation, adduction, and internal rotation. Rotator cuff tears are associated with shoulder joint dislocations. Rotator cuff tears slowly heal and persist for 10-20 years, irrespective of their etiology. When left untreated, fibrosis can set in the joint. After fibrosis, it is repaired with a reverse shoulder arthroplasty. Reverse shoulder arthroplasty allows a greater degree of movement compared to the conventional arthroplasty. In reverse shoulder arthroplasty, the latissimus dorsi tendon is removed from its original insertion and attached to the humerus around the insertion of the deltoid muscle. This change increases the torque and external rotation of the joint and provides better results than the surgeries where the tendon transfer is not done. This article compiles the various etiologies of shoulder dislocation and its treatment, shoulder arthroplasty. It discusses the indications and contraindications of total and reverse total arthroplasty. This article aims to compare conventional shoulder arthroplasty and reverse shoulder arthroplasty. It highlights the advantages of using latissimus dorsi grafts in reverse shoulder arthroplasty in shoulder joint dislocations.

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Revision der anatomischen Schulterprothese

Cited by 2 publications

References 31 publications

One- vs. Two-Stage Revision for Periprosthetic Shoulder Infections: A Systematic Review and Meta-Analysis

One- vs. Two-Stage Revision for Periprosthetic Shoulder Infections: A Systematic Review and Meta-Analysis

Applications of Latissimus Dorsi Grafts in Reverse Shoulder Arthroplasty

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