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Periprosthetic shoulder infection: an overview

Abstract : Periprosthetic shoulder infection (PSI) is rare but potentially devastating. The rate of PSI is increased in cases of revision procedures, reverse shoulder implants and co-morbidities. One specific type of PSI is the occurrence of low-grade infections caused by non-suppurative bacteria such as Propionibacterium acnes or Staphylococcus epidemermidis.Success of treatment depends on micro-organism identification, appropriate surgical procedures and antibiotic administration efficiency. Post-operative early PSI can be treated with simple debridement, while chronic PSI requires a one- or two-stage revision procedure. Indication for one-time exchange is based on pre-operative identification of a causative agent. Resection arthroplasty remains an option for low-demand patients or recalcitrant infection.
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Submitted on : Tuesday, May 21, 2019 - 9:20:21 AM
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Nicolas Bonnevialle, Florence Dauzères, Julien Toulemonde, Fanny Elia, Jean-Michel Laffosse, et al.. Periprosthetic shoulder infection: an overview. EFORT Open Reviews, British Editorial Society of Bone & Joint Surgery, 2017, 2 (4), pp.104-109. ⟨10.1302/2058-5241.2.160023⟩. ⟨hal-02135114⟩



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