Abstract:
PURPOSE:While as many as 50% of revision shoulder arthroplasties are culture positive, a consistent, clinically useful definition of a "periprosthetic shoulder infection" is lacking. We conducted a systematic review of the published literature with respect to (1) the definition of a "periprosthetic shoulder infection", (2) the pre-operative evaluation for possible infection, and (3) the harvesting and culturing of specimens at the time of surgical revision. METHODS:Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, we identified 20 studies concerning infection at the time of revision shoulder arthroplasty. The review was registered in the international Prospective Register of Systematic Reviews. RESULTS:An explicit definition of infection was not present in six studies (27%). Classification systems used for periprosthetic hip and knee infections were used in three studies (14%). Clinical signs and symptoms were used in all definitions, but most studies did not report microbiologic results or culturing practices. CONCLUSIONS:Synthesis of the literature on failed arthroplasties with positive cultures is compromised by lack of standardization, leaving surgeons without secure evidence on which to base diagnostic and treatment decisions. These decisions would be better informed if authors used a consistent approach in the evaluation of failed arthroplasties with respect to the number and source of specimens submitted, the culture technique, the number of specimens that became culture positive, the bacteria identified, and the bacterial load recovered from the shoulder. LEVEL OF EVIDENCE:This was a systematic review of reports of all levels.
journal_name
Int Orthopjournal_title
International orthopaedicsauthors
Hsu JE,Somerson JS,Vo KV,Matsen FA 3rddoi
10.1007/s00264-017-3421-6subject
Has Abstractpub_date
2017-04-01 00:00:00pages
813-822issue
4eissn
0341-2695issn
1432-5195pii
10.1007/s00264-017-3421-6journal_volume
41pub_type
杂志文章,评审abstract:PURPOSE:This prospective randomized trial is to determine the effectiveness of treating lumbar facet syndrome with oral diclofenac, methylprednisolone facet joint injection or both. METHODS:We enrolled lumbar facet syndrome patients treated at Srinagarind Hospital. Enrolled patients were randomly assigned to receive 1...
journal_title:International orthopaedics
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00264-016-3154-y
更新日期:2016-06-01 00:00:00
abstract::Total medial meniscectomy was carried out on 30 mature rabbits; subsequent regeneration of the meniscus and degenerative joint changes were observed. Out of 30 knees, 22 had regenerated menisci and 10 of these had not developed gross degenerative changes after 6 months. Collagen fibres were arranged irregularly in the...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640050158
更新日期:1997-01-01 00:00:00
abstract:BACKGROUND:Various types of dressing materials are available for wound care following hip and knee arthroplasty. However, it is unclear if one material is more beneficial than the others in terms of wound complications and fluid handling capacity. RESEARCH QUESTIONS:We performed a meta-analysis of randomized controlle...
journal_title:International orthopaedics
pub_type: 杂志文章,meta分析,评审
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abstract::The aim of this study was to compare the safety and efficacy of OsteoSet®2 DBM with autologous cancellous bone in free vascularised fibular grafting for the treatment of large osteonecrotic lesions of the femoral head. Twenty-four patients (30 hips) with large osteonecrotic lesions of the femoral head (stage IIC in si...
journal_title:International orthopaedics
pub_type: 杂志文章
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更新日期:2011-04-01 00:00:00
abstract:BACKGROUND:Cementless femoral stems are currently used in revision total hip arthroplasty (THA) with the surgeon choosing between various fixation modes. The outcomes are good in the medium term; however, some failures have been attributed to technical errors during implantation. When the decision has been made to use ...
journal_title:International orthopaedics
pub_type: 杂志文章
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更新日期:2019-10-01 00:00:00
abstract::We have reviewed 109 out of 122 operations performed for malunion of the distal radius. An excellent or good result was achieved in 80%, with 3% poor and 7% mediocre. Complications occurred in 12.6%. Accurate assessment of the frontal and sagittal angles of the articular surface of the distal radius was necessary in p...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00182984
更新日期:1992-01-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
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更新日期:2000-01-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-006-0161-4
更新日期:2007-04-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00266074
更新日期:1981-01-01 00:00:00
abstract:PURPOSE:Tibial fractures are the most common lower limb fractures. Some criteria such as open fractures and increasing open stage are known to be associated with high delayed union and pseudarthrosis rate. In cases of delayed or nonunion, classical treatment is autologous cancelous bone graft which is associated with h...
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pub_type: 杂志文章,评审
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更新日期:2014-09-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
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更新日期:1998-01-01 00:00:00
abstract::Extraskeletal osteosarcoma is very rare and is difficult to diagnose histologically. We report a case of a 63 year old women who had such a tumour in her thigh. ...
journal_title:International orthopaedics
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doi:10.1007/BF00182646
更新日期:1990-01-01 00:00:00
abstract::Recently, patellofemoral arthroplasty has attracted increased interest as a salvage treatment for isolated patellofemoral arthritis. However, there are very few reports of the experience with modern generation patellofemoral arthroplasties. This investigation describes a collective experience of four centres reporting...
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pub_type: 杂志文章,多中心研究
doi:10.1007/s00264-008-0692-y
更新日期:2009-12-01 00:00:00
abstract:PURPOSE:The postoperative flexion angle reportedly shows a positive correlation with the preoperative flexion angle, but in some cases, the postoperative flexion angle decreases in patients with a large preoperative flexion angle. The purpose of this study was to investigate factors affecting the range of motion after ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-015-2710-1
更新日期:2015-08-01 00:00:00
abstract::This study investigated the relationship of bone porosity and bone-cement interface shear strength. One hundred forty-six samples were taken from the distal metaphysis of 20 bovine femora. After cementation, the shear strength of the bone-cement interface was tested. According to the porosity, the samples were divided...
journal_title:International orthopaedics
pub_type: 杂志文章
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更新日期:2009-06-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-010-1175-5
更新日期:2011-11-01 00:00:00
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doi:10.1007/s00264-008-0678-9
更新日期:2009-10-01 00:00:00
abstract:PURPOSE:Despite previous studies the management of Rockwood type III acromioclavicular (AC) dislocations remains controversial and the debate continues about whether patients with Rockwood type III AC injuries should be treated conservatively or operatively. In this study, we will review the current literature and pres...
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pub_type: 杂志文章,评审
doi:10.1007/s00264-013-2143-7
更新日期:2014-04-01 00:00:00
abstract:PURPOSE:Patients often attribute increasing pain in an arthritic joint to changing weather patterns. Studies examining the impact of weather on pain severity have yielded equivocal and sometimes contradictory results. The relationship between subchondral pseudocysts and the role they play in this phenomenon has not bee...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-011-1304-9
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abstract:PURPOSE:This study was undertaken to prospectively analyse, at a mean five-year follow-up, the clinical, functional, and radiographic outcomes in patients who developed postoperative acute septic knee arthritis following anterior cruciate ligament (ACL) reconstruction using hamstring autograft. We also assessed the eff...
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pub_type: 杂志文章
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更新日期:2014-01-01 00:00:00
abstract::In a retrospective study of 39 hips with osteonecrosis of the femoral head treated with core decompression we evaluated the extent of the necrotic area, the Ficat stage and the location of the lesion. The extent of the necrotic lesion was classified into three categories: mild, less than 15%; moderate, 15-30%; and sev...
journal_title:International orthopaedics
pub_type: 杂志文章
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更新日期:2001-01-01 00:00:00
abstract::Two cases of septic loosening due to a tuberculosis infection occurred 18 months and 14 years after total hip arthroplasties. The primary source was pulmonary tuberculosis. Treatment was by removal of the prosthesis and radical debridement with the local implantation of gentamicin PMMA beads, followed by antituberculo...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00184916
更新日期:1995-01-01 00:00:00
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journal_title:International orthopaedics
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更新日期:2009-12-01 00:00:00
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journal_title:International orthopaedics
pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:2002-01-01 00:00:00
abstract:PURPOSE:We will test the hypothesis that ultrasound supported by polymerase chain reaction (PCR) could improve bacterial identification in non-infected prosthetic joint loosening. The aim was to detect bacterial species in non-infected prosthetic joint loosening using ultrasound and 16S rRNA gene sequencing. METHODS:A...
journal_title:International orthopaedics
pub_type: 杂志文章
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更新日期:2013-10-01 00:00:00
abstract::A 12-year-old boy with osteosarcoma in the proximal tibia underwent a successful limb-saving operation with preservation of the epiphyseal and articular cartilage of the proximal tibia as a result of his remarkable response to chemotherapy. There was no evidence of tumour invasion to the adjacent physis, as demonstrat...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640050272
更新日期:1998-01-01 00:00:00
abstract:PURPOSE:The purpose of this study was to analyze the occurrence of PE after intra-operative O-arm navigation-assisted surgery and determine whether the post-operative PE incidence could be decreased by using O-arm navigation as compared to conventional free-hand technique. METHODS:A cohort of 27 patients with spinal d...
journal_title:International orthopaedics
pub_type: 杂志文章
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更新日期:2018-09-01 00:00:00
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pub_type: 杂志文章
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更新日期:2021-01-30 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
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更新日期:1993-01-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00264-011-1213-y
更新日期:2011-11-01 00:00:00