Advanced septic arthritis of the shoulder treated by a two-stage arthroplasty

Table 1 Patients with advanced septic arthritis treated by a two-stage shoulder arthroplasty

Case	Gender	Age(yr)	Microbiology at thetime of debridement	Previous surgeries to the index procedure
1	Female	59	Streptococcus pyogenes	Open debridement
2	Male	69	Staphylococcus epidermidis	Arthroscopic rotator cuff repair (2 times), open debridement
3	Male	47	Cutibacterium acnes	Proximal humerus fracture plate osteosynthesis, open debridement (5 times)
4	Male	60	Cutibacterium acnes	Proximal humerus fracture plate osteosynthesis
5	Male	70	Streptococcus anginosus	Arthroscopic rotator cuff repair

Table 2 Information and data on patient outcome

Case	Spacer (wk)	HA/RTSA	Follow-up (mo)	VAS	Elevation	External rotation	CRP	DASH score	SSV
1	12	HA	59	0	90°	30°	1	9.2	95
2	6	RTSA	46	0	130°	20°	NA	10.8	90
3	6	HA	53	1	70°	15°	8	26.7	45
4	6	RTSA	14	1	100°	10°	5	40	40
5	6	RTSA	12	2	120°	45°	3	7.5	80

CRP: C-reactive protein; DASH: Disabilities of the arm, shoulder, and hand score; HA: Hemiarthroplasty; NA: None available; RTSA: Reverse total shoulder arthroplasty; SSV: Subjective shoulder value; VAS: Visual analog scale for pain.

Table 3 Review of the published data

Authors	Year of publication	Design	Native septic arthritis treated with cement spacer	Patients reimplanted	Mean interval	Mean follow-up
Themistocleous et al[11]	2007	Retrospective	7/11 2/11	2/111	4 mo	22 mo (15-26 mo)
Hattrup et al[10]	2010	Retrospective	5/21	21/21	6.6 mo (Median: 3 mo)	49 mo (24-109 mo)
Stine et al[12]	2010	Retrospective	9/30	15/301	3-4 mo	29 mo
Coffey et al[13]	2010	Retrospective	5/16	12/161	3 mo (6-30 wk)	20.5 mo (12-30 mo)
Twiss et al[14]	2010	Retrospective	5/30	20/301	9.3 wk (6-30 wk)	21.2 mo (12-40 mo)
Magnan et al[15]	2014	Retrospective	5/7	3/7	7 mo (6-8 mo)	40 mo

¹The reimplantation is achieved after treatment of native or prosthetic joint infection without specified data.