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Erschienen in: International Orthopaedics 4/2017

21.02.2017 | Review Article

What is a “periprosthetic shoulder infection”? A systematic review of two decades of publications

verfasst von: Jason E. Hsu, Jeremy S. Somerson, Kiet V. Vo, Frederick A. Matsen III

Erschienen in: International Orthopaedics | Ausgabe 4/2017

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Abstract

Purpose

While as many as 50% of revision shoulder arthroplasties are culture positive, a consistent, clinically useful definition of a “periprosthetic shoulder infection” is lacking. We conducted a systematic review of the published literature with respect to (1) the definition of a “periprosthetic shoulder infection”, (2) the pre-operative evaluation for possible infection, and (3) the harvesting and culturing of specimens at the time of surgical revision.

Methods

Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, we identified 20 studies concerning infection at the time of revision shoulder arthroplasty. The review was registered in the international Prospective Register of Systematic Reviews.

Results

An explicit definition of infection was not present in six studies (27%). Classification systems used for periprosthetic hip and knee infections were used in three studies (14%). Clinical signs and symptoms were used in all definitions, but most studies did not report microbiologic results or culturing practices.

Conclusions

Synthesis of the literature on failed arthroplasties with positive cultures is compromised by lack of standardization, leaving surgeons without secure evidence on which to base diagnostic and treatment decisions. These decisions would be better informed if authors used a consistent approach in the evaluation of failed arthroplasties with respect to the number and source of specimens submitted, the culture technique, the number of specimens that became culture positive, the bacteria identified, and the bacterial load recovered from the shoulder.

Level of Evidence

This was a systematic review of reports of all levels.
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Metadaten
Titel
What is a “periprosthetic shoulder infection”? A systematic review of two decades of publications
verfasst von
Jason E. Hsu
Jeremy S. Somerson
Kiet V. Vo
Frederick A. Matsen III
Publikationsdatum
21.02.2017
Verlag
Springer Berlin Heidelberg
Erschienen in
International Orthopaedics / Ausgabe 4/2017
Print ISSN: 0341-2695
Elektronische ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-017-3421-6

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