Treatment strategies for periprosthetic infections after primary elbow arthroplasty

Spormann, C.; Achermann, Yvonne; Simmen, Beat R.; Schwyzer, Hans‐Kaspar; Vogt, Markus; Goldhahn, Jörg; Kolling, Christoph

doi:10.1016/j.jse.2011.10.007

Cited by 43 publications

(27 citation statements)

References 36 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Coagulase-negative staphylococci are more frequently identified than S. aureus in shoulder infection as well. S. aureus and coagulase-negative staphylococci cause over three-quarters of elbow arthroplasty infections (13,(117)(118)(119)(120).…”

Section: Relative Frequency Of Microorganismsmentioning

confidence: 99%

Prosthetic Joint Infection

2014

View full text Add to dashboard Cite

SUMMARY Prosthetic joint infection (PJI) is a tremendous burden for individual patients as well as the global health care industry. While a small minority of joint arthroplasties will become infected, appropriate recognition and management are critical to preserve or restore adequate function and prevent excess morbidity. In this review, we describe the reported risk factors for and clinical manifestations of PJI. We discuss the pathogenesis of PJI and the numerous microorganisms that can cause this devastating infection. The recently proposed consensus definitions of PJI and approaches to accurate diagnosis are reviewed in detail. An overview of the treatment and prevention of this challenging condition is provided.

show abstract

Section: Relative Frequency Of Microorganismsmentioning

confidence: 99%

Prosthetic Joint Infection

2014

View full text Add to dashboard Cite

show abstract

“…Despite a lack of high-level evidence, the case series published by some of the surgeons who perform high volumes of TEA have provided valuable information in achieving successful outcomes in the setting of periprosthetic infection [3][4][5]9,10,13,14 . Acute infections (considered acute in the literature if they last from four to twelve weeks) can typically be treated successfully with aggressive early irrigation and debridement along with long-term intravenous antibiotics [3][4][5]9 .…”

Section: Discussionmentioning

confidence: 99%

“…Acute infections (considered acute in the literature if they last from four to twelve weeks) can typically be treated successfully with aggressive early irrigation and debridement along with long-term intravenous antibiotics [3][4][5]9 . Yamaguchi et al recommended identification of the causative organism because retention of implants seeded with Staphylococcus epidermidis had a high risk of failure with irrigation and debridement and intravenous antibiotics alone 4 .…”

Section: Discussionmentioning

confidence: 99%

“…Recommended strategies to treat periprosthetic infection after TEA have included irrigation and debridement, resection arthroplasty, single-stage and two-stage revision, arthrodesis, and/or amputation [2][3][4][5][6][7][8][9][10] . Most recommended strategies are not supported with high levels of evidence; therefore, there is a lack of consensus regarding treatment algorithms.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Use of a Hinged Antibiotic-Loaded Cement Spacer for an Infected Periprosthetic Fracture in a Total Elbow Arthroplasty: A Novel Construct Utilizing Ilizarov Rods

Liporace

Kaplan

Stickney

et al. 2014

JBJS Case Connector

View full text Add to dashboard Cite

show abstract

“…If septic loosening is present, exchange of the prosthesis becomes necessary. The authors' surgical preference involves a two-stage exchange with a prosthesis-free interval and antibiotic treatment spanning several months before reimplantation of the prosthesis [ 13 ]. According to published data from the Mayo Clinic, 5 % of all patients undergoing primary TEA will sustain a periprosthetic fracture in the future.…”

Section: Complicationsmentioning

confidence: 99%