From the Rothman Orthopaedic Surgery, Rothman Institute, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA (Namdari), the Department of Orthopedics, Monmouth Medical Center, Long Branch, NJ (Sudah), the Midwest Orthopaedics at Rush, Rush University, Chicago, IL (Menendez), and the Oregon Shoulder Institute, Medford, OR (Denard).
J Am Acad Orthop Surg. 2022 Oct 1;30(19):917-924. doi: 10.5435/JAAOS-D-21-00984. Epub 2022 Apr 21.
Periprosthetic joint infection is a rare but potentially devastating complication of shoulder arthroplasty. The most conservative treatment approach is a two-stage revision involving interval placement of an antibiotic cement spacer. The purpose of this study was to contextualize the use of antibiotic spacers in the current treatment paradigm of shoulder periprosthetic joint infection and to review the history of shoulder spacers, the different types (eg, stemmed versus stemless and prefabricated versus handmade), the antibiotic composition and dosage, and their efficacy and complications.
人工关节周围感染是肩关节置换术罕见但潜在破坏性的并发症。最保守的治疗方法是两期翻修术，包括间隔放置抗生素骨水泥间隔物。本研究旨在为当前肩关节人工关节周围感染的治疗模式提供抗生素间隔物的应用背景，并回顾肩关节间隔物的历史、不同类型（例如，带柄与无柄、预制与手工制作）、抗生素组成和剂量，以及它们的疗效和并发症。
