Copyright
©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Oct 18, 2019; 10(10): 356-363
Published online Oct 18, 2019. doi: 10.5312/wjo.v10.i10.356
Published online Oct 18, 2019. doi: 10.5312/wjo.v10.i10.356
Advanced septic arthritis of the shoulder treated by a two-stage arthroplasty
Patrick Goetti, Nicolas Gallusser, Alexander Antoniadis, Diane Wernly, Frédéric Vauclair, Olivier Borens, Department of orthopedic surgery and traumatology, Lausanne University Hospital and University of Lausanne, Lausanne 1010, Switzerland
Author contributions: Goetti P and Gallusser N designed the study and wrote the manuscript; Antoniadis A and Wernly D compiled the data and reviewed the literature; Vauclair F and Borens O critically reviewed the manuscript.
Institutional review board statement: The need for approval was waived by the institutional ethics committee of Lausanne University Hospital (CER-VD) for retrospective case series including 5 patients or less.
Informed consent statement: Patients were not required to give informed consent because the analysis used anonymous data that were obtained after each patient agreed to treatment by written informed consent.
Conflict-of-interest statement: The authors, their immediate family, and any research foundation with which they are affiliated did not receive any financial payments or other benefits from any commercial entity related to the subject of this article.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Patrick Goetti, MD, Surgeon, Department of orthopedic surgery and traumatology, Lausanne University Hospital and University of Lausanne, Avenue Pierre-Decker 4, Lausanne 1010, Switzerland. patrick.goetti@chuv.ch
Telephone: +41-79-5569044 Fax: +41-21-3142755
Received: April 3, 2019
Peer-review started: April 4, 2019
First decision: July 31, 2019
Revised: September 3, 2019
Accepted: September 15, 2019
Article in press: September 15, 2019
Published online: October 18, 2019
Processing time: 204 Days and 16.5 Hours
Peer-review started: April 4, 2019
First decision: July 31, 2019
Revised: September 3, 2019
Accepted: September 15, 2019
Article in press: September 15, 2019
Published online: October 18, 2019
Processing time: 204 Days and 16.5 Hours
Core Tip
Core tip: Shoulder septic arthritis associated with advanced osteoarthritic changes and/or rotator cuff tendon tears is challenging to treat. The classic approach of lavage and debridement is burdened by a higher failure rate with insufficient eradication of the infection and unsatisfactory functional outcomes. A two-stage approach with initial resection of the articular surfaces, implantation of an antibiotic enriched cement spacer before final treatment with a total shoulder arthroplasty is an appealing therapeutic option. Our retrospective case-series of five patients reveals that this approach is effective to eradicate infection and provides a satisfactory clinical outcome.