Schwyzer H K, Simmen B R, Gschwend N
Schulthessklinik, Zürich.
Orthopade. 1995 Aug;24(4):367-75.
The rate of infection reported in recent publications is 0.8% after shoulder arthroplasty and ten times higher (8.1%) after elbow arthroplasty. The figures for shoulder arthroplasty correspond well with our own rate of revision for infection of 0.5% after 363 primary shoulder replacements. However, our average rate of revision for infection (1.8%) after 278 GSB-III elbow arthroplasties was considerably lower and included rheumatoid as well as post-traumatic indications. Our experience concerning etiologic factors, nature, diagnosis, treatment options, and long-term consequences of superficial and deep infections after shoulder and elbow arthroplasty are discussed for each joint separately and in relation to the literature.
近期出版物报道的肩关节置换术后感染率为0.8%,而肘关节置换术后感染率则高出十倍(8.1%)。肩关节置换术的这些数据与我们自己在363例初次肩关节置换术后0.5%的感染翻修率相当吻合。然而,在278例GSB-III型肘关节置换术后,我们的平均感染翻修率(1.8%)要低得多,其中包括类风湿性和创伤后适应症。我们分别针对每个关节,并结合文献,讨论了肩关节和肘关节置换术后表浅及深部感染的病因、性质、诊断、治疗选择以及长期后果。