Antibiotic Spacers for Shoulder Periprosthetic Joint Infection: A Review

被引:5
作者
Namdari, Surena [1 ]
Sudah, Suleiman Y. [2 ]
Menendez, Mariano E. [3 ]
Denard, Patrick J. [4 ]
机构
[1] Thomas Jefferson Univ, Rothman Orthopaed Surg, Rothman Inst, Sidney Kimmel Med Coll, Philadelphia, PA 19107 USA
[2] Monmouth Med Ctr, Dept Orthoped, Long Branch, NJ USA
[3] Rush Univ, Midwest Orthopaed Rush, Chicago, IL USA
[4] Oregon Shoulder Inst, Medford, OR USA
关键词
LOADED BONE-CEMENT; 2-STAGE REVISION; ARTHROPLASTY; MANAGEMENT; VANCOMYCIN; PROSTHESIS; GENTAMICIN;
D O I
10.5435/JAAOS-D-21-00984
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
Periprosthetic joint infection is a rare but potentially devastating complication of shoulder arthroplasty. The most conservative treatment approach is a two-stage revision involving interval placement of an antibiotic cement spacer. The purpose of this study was to contextualize the use of antibiotic spacers in the current treatment paradigm of shoulder periprosthetic joint infection and to review the history of shoulder spacers, the different types (eg, stemmed versus stemless and prefabricated versus handmade), the antibiotic composition and dosage, and their efficacy and complications.
引用
收藏
页码:917 / 924
页数:8
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