Patient-specific articulating spacer for two-stage shoulder arthroplasty exchange

被引：0

作者：

List, Kilian ^{[1
,3
]}

Streck, Laura Elisa ^{[1
]}

Gaal, Chiara ^{[1
]}

Achenbach, Leonard ^{[1
]}

Dines, David ^{[2
]}

Rudert, Maximilian ^{[1
]}

机构：

[1] Univ Wurzburg, Dept Orthoped Surg, Koenig Ludwig Haus, Wurzburg, Germany

[2] Hosp Special Surg, New York, NY USA

[3] Univ Wurzburg, Dept Orthoped Surg, Koenig Ludwig Haus, Brettreichstr 11, D-97074 Wurzburg, Germany

来源：

OPERATIVE ORTHOPADIE UND TRAUMATOLOGIE | 2023年 / 35卷 / 3-4期

关键词：

Periprosthetic joint infection; Shoulder arthroplasty; Polymethylmethacrylate; Complication; Revision surgery; PERIPROSTHETIC JOINT INFECTION; MANAGEMENT; REVISION;

D O I：

10.1007/s00064-023-00801-1

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

ObjectiveTwo-stage exchange with an antibiotic-loaded polymethylmethacrylate (PMMA) spacer is standard treatment for chronic periprosthetic joint infection of the shoulder. We present a safe and simple technique for patient-specific spacer implants.Indication(Chronic) periprosthetic joint infection of the shoulder.Relative contraindicationsKnown allergy against components of PMMA bone cements. Inadequate compliance for two-stage exchange. Patient is unfit to undergo two-stage exchange.Surgical techniqueHardware removal, histologic and microbiologic samples, and debridement. Preparation of targeted or calculated antibiotic-loaded PMMA. Tailoring of patient-specific spacer. Spacer implantation.Postoperative managementRehabilitation protocol. Antibiotic treatment. Reimplantation after successful eradication of infection.

引用

页码：135 / 145

页数：11

共 24 条

[1] Periprosthetic joint infection: Current concept
Aggarwal, Vinay K.
Rasouli, Mohammad R.
Parvizi, Javad
[J]. INDIAN JOURNAL OF ORTHOPAEDICS, 2013, 47 (01) : 10 - 17
[2] Single-stage versus two-stage revision for shoulder periprosthetic joint infection: a systematic review and meta-analysis
Belay, Elshaday S.
Danilkowicz, Richard
Bullock, Garrett
Wall, Kevin
Garrigues, Grant E.
[J]. JOURNAL OF SHOULDER AND ELBOW SURGERY, 2020, 29 (12) : 2476 - 2486
[3] Comparison of Elution Characteristics and Compressive Strength of Biantibiotic-Loaded PMMA Bone Cement for Spacers: Copal® Spacem with Gentamicin and Vancomycin versus Palacos® R plus G with Vancomycin
Boelch, Sebastian P.
Rueckl, Kilian
Fuchs, Clara
Jordan, Martin
Knauer, Markus
Steinert, Andre
Rudert, Maximilian
Luedemann, Martin
[J]. BIOMED RESEARCH INTERNATIONAL, 2018, 2018
[4] Do not exchange the spacer during staged TKA exchange!
Boelch, Sebastian Philipp
Jakuscheit, Axel
Luedemann, Martin
Heilig, Philipp
Kamawal, Yama
Arnholdt, Joerg
Rudert, Maximilian
[J]. JOURNAL OF ORTHOPAEDICS, 2021, 23 : 41 - 45
[5] Boelch Sebastian Philipp, 2020, JSES Int, V4, P959, DOI 10.1016/j.jseint.2020.08.012
[6] Complications of total shoulder arthroplasty
Bohsali, Kamal I.
Wirth, Michael A.
Rockwood, Charles A., Jr.
[J]. JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2006, 88A (10) : 2279 - 2292
[7] The management of infection in arthroplasty of the shoulder
Coste, JS
Reig, S
Trojani, C
Berg, M
Walch, G
Boileau, P
[J]. JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 2004, 86B (01): : 65 - 69
[8] Egglestone Anthony, 2019, Shoulder Elbow, V11, P167, DOI 10.1177/1758573218779076
[9] Surgical anatomy of the radial nerve in the deltopectoral approach for revision shoulder arthroplasty and periprosthetic fracture fixation: a cadaveric study
Fu, Michael C.
Hendel, Michael D.
Chen, Xiang
Warren, Russell F.
Dines, David M.
Gulotta, Lawrence V.
[J]. JOURNAL OF SHOULDER AND ELBOW SURGERY, 2017, 26 (12) : 2173 - 2176
[10] Does exchange arthroplasty of an infected shoulder prosthesis provide better eradication rate and better functional outcome, compared to a permanent spacer or resection arthroplasty? a systematic review
George, D. A.
Volpin, A.
Scarponi, S.
Haddad, F. S.
Romano, C. L.
[J]. BMC MUSCULOSKELETAL DISORDERS, 2016, 17

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