Management of the infected total elbow arthroplasty.
Journal
The bone & joint journal
ISSN: 2049-4408
Titre abrégé: Bone Joint J
Pays: England
ID NLM: 101599229
Informations de publication
Date de publication:
01 Nov 2024
01 Nov 2024
Historique:
medline:
1
11
2024
pubmed:
1
11
2024
entrez:
31
10
2024
Statut:
epublish
Résumé
Periprosthetic joint infection represents a devastating complication after total elbow arthroplasty. Several measures can be implemented before, during, and after surgery to decrease infection rates, which exceed 5%. Debridement with antibiotics and implant retention has been reported to be successful in less than one-third of acute infections, but still plays a role. For elbows with well-fixed implants, staged retention seems to be equally successful as the more commonly performed two-stage reimplantation, both with a success rate of 70% to 80%. Permanent resection or even amputation are occasionally considered. Not uncommonly, a second-stage reimplantation requires complex reconstruction of the skeleton with allografts, and the extensor mechanism may also be deficient. Further developments are needed to improve our management of infection after elbow arthroplasty.
Identifiants
pubmed: 39481446
doi: 10.1302/0301-620X.106B11.BJJ-2024-0549.R1
pii: BJJ-2024-0549.R1
doi:
Substances chimiques
Anti-Bacterial Agents
0
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
1321-1326Informations de copyright
© 2024 The British Editorial Society of Bone & Joint Surgery.
Déclaration de conflit d'intérêts
J. Sanchez-Sotelo reports royalties or licenses from Stryker, publishing royalties from Oxford University Press and Elsevier, consulting fees from Stryker, Exactech, and Acumed, patents planned, issued, or pending for proximal humerus fracture fixation, acromion fracture fixation, and stemless anatomic humeral head arthroplasty, stock or stock options in Precision OS, Orthobullets, Parvizi Surgical Innovation, and is president-elect of the American Shoulder and Elbow Surgeons, all of which are unrelated to this article.
Références
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