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：:Antibiotic-associated colitis was diagnosed in 23 orthopaedic patients: 17 had abdominal symptoms, 3 had a fever and the remaining 3 had no symptoms but increasing C-reactive protein values or white blood count. The antibiotic was clindamycin in 19, cephalosporins in 3 and a combination of vancomycin and fusidic acid ...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s002640050063
更新日期：1996-01-01 00:00:00
abstract：PURPOSE:Antibiotic prophylaxis is routinely used in the surgical management of proximal femur fractures. The role of bacterial colonization of the skin and urine in the development of deep surgical site infections (SSI) is yet to be elucidated. This study aimed to evaluate the role of previous skin and urine colonizati...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-020-04525-w
更新日期：2020-06-01 00:00:00
abstract：:The purpose of this study was to perform an objective clinical and radiological assessment of the thrust plate prosthesis (TPP). Fifty-three prostheses were evaluated clinically using the Harris hip score (HHS), visual analog scale (VAS), and radiographically before surgery, at the time of discharge, and postoperative...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-008-0714-9
更新日期：2009-12-01 00:00:00
abstract：PURPOSE:To evaluate the influence of stem offset and neck shaft angles on the range of motion before component impingement (ROMCI) and bony impingement (ROMBI), and the types of impingement in total hip arthroplasty (THA). METHODS:Using the computed tomography data of 101 patients who underwent THA, three-dimensional ...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-015-2826-3
更新日期：2016-02-01 00:00:00
abstract：PURPOSE:The disease activity score including 28 joints (DAS28), the simplified disease activity index and the clinical disease activity index (CDAI) were developed in order to provide a quantifiable measure of rheumatoid arthritis (RA) activity. Although inflamed hip joints greatly impact activities of daily living (AD...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-013-1900-y
更新日期：2013-07-01 00:00:00
abstract：:Patients who cannot walk, particularly those with orthopaedic deformities, need more than a simple wheelchair; they require a special seating system. Since the early 1970's many different systems have been introduced to the field of orthotics and prescribed through "Seating Clinics" in many centres in North America an...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/BF00266517
更新日期：1985-01-01 00:00:00
abstract：PURPOSE:The purpose of this study is to assess safety and feasibility of intradiscal bone marrow concentrate (BMC) injections to treat low back discogenic pain as an alternative to surgery with three year minimum follow-up. METHODS:A total of 26 patients suffering from degenerative disc disease and candidates for spin...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-017-3560-9
更新日期：2017-10-01 00:00:00
abstract：PURPOSE:Several factors affect injury types in childhood. The aim of the study was to evaluate the musculoskeletal injury types, treatment modalities, and demographic characteristics of refugee children and to reveal the differences from native children. METHODS:A total of 1297 patients (897 females, 400 males) treate...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-021-04950-5
更新日期：2021-01-23 00:00:00
abstract：PURPOSE:This systematic literature review analysed the change in range of knee flexion from pre-operative values, following conventional posterior stabilised (PS) and high-flexion (H-F) PS total knee arthroplasty (TKA). METHODS:We calculated the weighted mean differences of pre- and postoperative flexion using meta-an...
journal_title：International orthopaedics
pub_type： 杂志文章,meta分析
doi：10.1007/s00264-011-1228-4
更新日期：2011-09-01 00:00:00
abstract：:We treated 25 patients with aggressive and malignant fibular tumours between April 1989 and May 2001. There were 11 osteosarcomas, seven Ewing's sarcoma and five chondrosarcomas. The tumours predominantly involved the upper one third; 16 were of Stage IIB. Neo-adjuvant and adjuvant chemotherapy were given to all patie...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-004-0566-x
更新日期：2004-10-01 00:00:00
abstract：AIM OF THE STUDY:To determine if pre-operative radiologic minimal joint space width (mJSW) is related to the outcome of total knee arthroplasty (TKA) (primary hypothesis). Likewise, the aim was to test if pre-operative mJSW is related to prosthesis survival (secondary hypothesis). METHODS:A retrospective comparative a...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-018-4185-3
更新日期：2019-08-01 00:00:00
abstract：PURPOSE:Although there are various new scaffold-based techniques for cartilage regeneration it remains unclear up to which defect size they can be used. The present study reports of a cell-free collagen type I gel matrix for the treatment of large cartilage defects of the knee after a two-year follow-up. METHODS:Twent...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-015-2695-9
更新日期：2015-12-01 00:00:00
abstract：:Fixed multiplane deformities around the hip representing a combination of rotational, angular, and leg-length discrepancies are disabling for the patient and pose a challenge for the orthopaedic surgeon. We describe a joint-preserving, one-stage procedure to address these complex problems using an intertrochanteric os...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s002640100282
更新日期：2001-01-01 00:00:00
abstract：:We used custom mega-prostheses in 57 patients with aggressive benign and malignant tumours of the proximal humerus. The most common tumour was osteosarcoma, followed by giant cell tumour and chondrosarcoma. We achieved extra-articular and wide resection margins in all primary malignant tumours and narrow margins in be...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-005-0029-z
更新日期：2006-06-01 00:00:00
abstract：:We conducted a prospective study of the clinical and radiographic variables related to the survival of 114 cementless resurfacing double-cup hip replacements (RHR) with a mean follow-up of 9 (range: 1--16) years. Three patients died, and 22 were unavailable for the final review in 2003. Sixty-one RHRs had to be revise...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-005-0652-8
更新日期：2005-08-01 00:00:00
abstract：AIM OF THE STUDY:The aim of the study was to investigate functional and patient-rated outcome parameters after endoscopic assisted release of the ulnar nerve for cubital tunnel syndrome. METHODS:One hundred of 204 consecutive patients between 2006 and 2011 met the inclusion/exclusion criteria. Fifty-one of these patie...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-018-3760-y
更新日期：2018-06-01 00:00:00
abstract：:Postoperative infection is a regular complication in coccygectomy. The authors propose the use of a topical skin adhesive on the postoperative wound as a contribution to the prevention of this complication. It was used on the first 56 patients in this study. The rate of infection was 3.6% compared with the 14% rate of...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-010-1058-9
更新日期：2011-06-01 00:00:00
abstract：:Dislocation of the elbow associated with radial head and coronoid fracture, the so-called "terrible triad" of the elbow, is challenging to treat and has a history of complicated outcomes. However, advances in the knowledge of elbow kinematics combined with improved implants and surgical techniques during the past few ...
journal_title：International orthopaedics
pub_type： 杂志文章,评审
doi：10.1007/s00264-010-1024-6
更新日期：2011-06-01 00:00:00
abstract：PURPOSE:Despite bilateral knee replacement being frequently performed, little data is available to inform on the relative outcomes of each knee for individual patients. The purpose of this study was to compare these outcomes in a series of bilateral total knee replacements (TKRs) performed either simultaneously or at a...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-016-3122-6
更新日期：2016-10-01 00:00:00
abstract：:Old age is frequently associated with a poorer functional outcome after THA. This might be based upon muscular damage resulting from surgical trauma. Minimally invasive approaches have been widely promoted on the basis of the muscle sparing effect. The aim of the study was to evaluate of the functional outcome and the...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-010-1166-6
更新日期：2011-02-01 00:00:00
abstract：:Fifty-four consecutive acute Achilles tendon ruptures were treated with end-to-end suture augmented with gastrocnemius fascial flaps. Surgery was performed within 24 h. Mean patient age was 35 (23-57) years, and 46 were men. Mean follow-up time was 4.8 (2-8) years. At follow-up, the mean visual analogue scale for pain...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-004-0598-2
更新日期：2005-02-01 00:00:00
abstract：PURPOSE:The anterior cruciate ligament (ACL) is known to have a poor healing ability, especially in comparison with the medial collateral ligament (MCL) which can heal relatively well. Interleukin-1beta (IL-1β) is considered to be an important chemical mediator in the acute inflammatory phase of ligament injury. The ro...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-012-1549-y
更新日期：2013-03-01 00:00:00
abstract：PURPOSE:The goal of total hip endoprosthesis is to achieve painless and functional hip for long term. Accurate reconstruction of hip anatomy largely depends on the implant design. In order to select an implant in correspondence with the native hip, the proximal femoral morphology has been in focus of many studies in th...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-021-04942-5
更新日期：2021-01-13 00:00:00
abstract：PURPOSE:The purpose of this systematic review and meta-analysis of randomised controlled trials is to assess the effectiveness of no drainage when compared to drainage in total knee arthroplasty, in terms of recovery of knee flexion, reduction in swelling, length of hospital stay and haemoglobin levels following TKA. ...
journal_title：International orthopaedics
pub_type： 杂志文章,meta分析,评审
doi：10.1007/s00264-014-2455-2
更新日期：2015-04-01 00:00:00
abstract：PURPOSE:Dual mobility (DM) socket has been associated with a low rate of dislocation following both primary and revision total hip arthroplasty (THA). However, little is known about the long-term efficiency of DM in the treatment of THA instability. The purpose of this retrospective study was to evaluate the outcome of...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-016-3343-8
更新日期：2017-03-01 00:00:00
abstract：:We prospectively studied all patients admitted for total hip (THR) or knee (TKR) arthroplasty from July 2000 to February 2001. No pharmacological anticoagulation was given. All patients received a standardized postoperative rehabilitation regimen. Forty-six patients with known risk factors for deep vein thrombosis (DV...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-003-0427-z
更新日期：2003-01-01 00:00:00
abstract：:Synovial oedema is a frequent complication in arthroscopic procedures performed with normal saline as the irrigating fluid. The authors have studied the effect of saline solution, Ringer lactate, 5% Dextran and 10% Dextran in normal saline on 12 specimens of human synovial membrane. They found that 10% Dextran in norm...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：
更新日期：1986-01-01 00:00:00
abstract：PURPOSE:The transfer of the pectoralis major in cases of irreparable rupture of the subscapularis has been described through different techniques. The aim of this prospective study was to compare the clinical results of transferring the clavicular or the sternal head of the pectoralis major tendon underneath the conjoi...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-014-2566-9
更新日期：2015-03-01 00:00:00
abstract：PURPOSE:The aim of this study was to determine whether distal locking using an electromagnetic-manual guided distal locking decreases the malrotation rate in femur fractures treated with intramedullary nailing. METHODS:A total of 113 adult patients having unilateral femoral shaft fractures treated using IM nails were ...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-014-2626-1
更新日期：2015-03-01 00:00:00
abstract：:This study evaluates the role of arthroscopy in the diagnosis of acute injuries to the knee. One hundred and fifty four patients with a suspected ligament injury or effusion of the knee joint underwent arthroscopy. A haemarthrosis was present in 82% and a bloodless effusion in 10%. Meniscal tears were found in 19% of ...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/BF00317825
更新日期：1988-01-01 00:00:00
