Hackett Daniel J, Crosby Lynn A
Bull Hosp Jt Dis (2013). 2013;71 Suppl 2:88-93.
Infection after shoulder arthroplasty remains one of the most common postoperative complications. Treatment options range from debridement, appropriate antibiotic regimen, and retaining the implant to resection arthroplasty in the elderly medically challenged patient. We review the diagnostic challenges and treatment options for periprosthetic infections involving the shoulder. It appears that early detection, isolation of the infecting organism, and aggressive debridement with appropriate antibiotic treatment is the most important component of a successful treatment program designed to eradicate the infection. This early treatment which in most cases is combined with a two-stage approach (with an interim antibiotic spacer) provides the best opportunity to obtain a reasonably painless and functional shoulder arthroplasty.
肩关节置换术后感染仍然是最常见的术后并发症之一。治疗方案包括清创、适当的抗生素治疗方案、保留植入物，对于老年体弱患者则采取关节成形术。我们回顾了肩关节假体周围感染的诊断挑战和治疗方案。早期检测、分离感染病原体，并结合适当的抗生素治疗进行积极清创，似乎是成功根除感染的治疗方案的最重要组成部分。这种早期治疗在大多数情况下采用两阶段方法（使用临时抗生素间隔物），为获得相对无痛且功能良好的肩关节置换术提供了最佳机会。
