Bonnevialle Nicolas, Dauzères Florence, Toulemonde Julien, Elia Fanny, Laffosse Jean-Michel, Mansat Pierre
Orthopaedic Department and Biomechanics Department, IMFT CNRS URM 5502, Riquet Hospital, University Centre, Place Baylac, 31059 Toulouse, France.
Orthopaedic Department, Riquet Hospital, University Centre, Place Baylac, 31059 Toulouse, France.
EFORT Open Rev. 2017 Apr 27;2(4):104-109. doi: 10.1302/2058-5241.2.160023. eCollection 2017 Apr.
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 or .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. Cite this article: 2017;2:104-109. DOI: 10.1302/2058-5241.2.160023.
人工肩关节周围感染（PSI）较为罕见，但可能具有毁灭性。在翻修手术、反式肩关节植入物及合并症的情况下，PSI的发生率会升高。PSI的一种特殊类型是由非化脓性细菌如 或 引起的低度感染。治疗的成功取决于微生物鉴定、适当的手术程序及抗生素给药效率。术后早期PSI可通过简单清创治疗，而慢性PSI则需要进行一期或二期翻修手术。一次性置换的指征基于术前对病原体的鉴定。对于需求较低的患者或顽固性感染，关节切除成形术仍是一种选择。引用本文：2017；2：104 - 109。DOI：10.1302/2058 - 5241.2.160023。 （注：原文中“或”后面及“如”后面的内容缺失）
