[Therapy of Periprosthetic Shoulder Infection].

Abstract:

:There are several therapeutic options for the treatment of periprosthetic joint infections of shoulder arthroplasties. In acute infections, the implant can remain in place with open debridement, septic lavage with antibacterial solutions such as octinedine or polyhexanide solution and exchange of all mobile components. In late infections, the therapeutic options after removal of the infected implant are: permanent spacer, resection arthroplasty, one stage revision and two stage revision with or without a temporary spacer. The functional results are best for one stage revisions, with similar prosthetic survival to two stage revisions. For one stage revisions, the microorganism has to be identified prior to revision surgery, in order to use targeted antibiotics locally in the cement, and systemically. :Für die Behandlung von periprothetischen Infektionen von Schulterendoprothesen existieren verschiedene therapeutische Konzepte. Bei akuten periprothetischen Infektionen kann das Implantat belassen werden, alle mobilen Teile (Inlay) sollten bei einem offenen Débridement gewechselt werden und Spülungen mit antibakteriellen Lösungen wie Octinedin oder Polyhexanid durchgeführt werden. Bei Spätinfektionen sind die therapeutischen Optionen nach der Entfernung des infizierten Implantats: Einlage eines permanent verbleibenden Spacers, die Resektionsarthroplastik, einzeitige und zweizeitige Wechsel mit und ohne temporären Spacer. Die funktionellen Ergebnisse sind beim einzeitigen Wechsel am besten und die Eradikationsrate vergleichbar mit derjenigen beim zweizeitigen Wechsel. Voraussetzung für den einzeitigen Wechsel ist die Identifizierung des Keimes, um zielgerichtete Antibiotika in den Zement beizumischen und systemisch zu verabreichen.

journal_name

Z Orthop Unfall

authors

Fink B,Sevelda F

doi

10.1055/s-0043-116942

subject

Has Abstract

pub_date

2018-02-01 00:00:00

pages

21-29

issue

1

eissn

1864-6697

issn

1864-6743

journal_volume

156

pub_type

杂志文章,评审
  • [Periprosthetic fractures of the knee joint].

    abstract::Periprosthetic fractures are a challenging problem in view of the demographic development and the increasing number of implanted prostheses. Most of these fractures occur postoperatively after a period of two to four years after implantation of a total knee arthroplasty. They are usually caused by traumata, implantati...

    journal_title:Zeitschrift fur Orthopadie und Unfallchirurgie

    pub_type: 杂志文章

    doi:10.1055/s-0032-1315398

    authors: Fehringer M,Münzberg M,Grützner PA,Franke J

    更新日期:2012-10-01 00:00:00

  • [Is there a correlation between the clinical, radiological and intrasurgical findings of osteoarthritis of the knee? A Prospective study on 103 patients].

    abstract:AIM:The aim of this study was to compare the different diagnostic features (symptoms, physical examination, radiographic features and intraoperative findings) of osteoarthritis of the knee before total joint replacement and consequently relate them with each other. METHOD:Patients with primary osteoarthritis of the kn...

    journal_title:Zeitschrift fur Orthopadie und Unfallchirurgie

    pub_type: 临床试验,杂志文章

    doi:10.1055/s-2007-965550

    authors: Rupprecht TN,Oczipka F,Lüring C,Pennekamp PH,Grifka J

    更新日期:2007-07-01 00:00:00

  • [Bone Marrow Lesion - Risk-Factors and Pathophysiological Relevance: Systematic Review].

    abstract:AIM:The objective of this systematic review and meta-analysis is to obtain information about risks and associated factors for knee symptoms and the progression of osteoarthritis in idiopathic bone marrow lesion (BML). MATERIALS AND METHODS:The primary search on 31. 12. 2013 included the databases PubMed, EMBASE, Web o...

    journal_title:Zeitschrift fur Orthopadie und Unfallchirurgie

    pub_type: 杂志文章,meta分析,评审

    doi:10.1055/s-0042-101560

    authors: Spahn G,Biehl M,Hofmann GO

    更新日期:2016-08-01 00:00:00

  • [Periprosthetic Acetabulum Fractures].

    abstract::In contrast to periprosthetic fractures of the femur, periprosthetic fractures of the acetabulum are rare complications - both primary fractures and fractures in revision surgery. This topic is largely under-reported in the literature; there are a few case reports and no long term results. Due to an increase in life e...

    journal_title:Zeitschrift fur Orthopadie und Unfallchirurgie

    pub_type: 杂志文章,评审

    doi:10.1055/s-0042-113196

    authors: Schreiner AJ,Stuby F,de Zwart PM,Ochs BG

    更新日期:2016-12-01 00:00:00

  • [Parental enquiries before frequenting the outpatient paediatric orthopaedic consultation--focus Internet].

    abstract:PURPOSE:Every day several million people are seeking for answers to medical problems via the internet. In particular parents, whose children are affected by systemic diseases, orthopaedic defective positions, anomalies or deformities, use the internet to increase their knowledge. Concerning this situation there is a la...

    journal_title:Zeitschrift fur Orthopadie und Unfallchirurgie

    pub_type: 杂志文章

    doi:10.1055/s-0029-1185898

    authors: Peterlein CD,Schofer MD,Guntermann LC,Timmesfeld N,Fuchs-Winkelmann S,Schmitt J

    更新日期:2009-11-01 00:00:00

  • [Bicondylar knee arthroplasty - influence of preoperative functional restriction on early functional postoperative outcome].

    abstract:AIM:The point of time for total knee arthroplasty has a significant importance due to limited implant survival rate. To what extent the preoperative stage of physical and psychological function limitation, which is increasing with the progression of the osteoarthritis, has an influence on the early functional outcome a...

    journal_title:Zeitschrift fur Orthopadie und Unfallchirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2008-1038463

    authors: Bergschmidt P,Bader R,Finze S,Ansorge S,Kundt G,Mittelmeier W

    更新日期:2008-05-01 00:00:00

  • [Comparison of anterior lumbar fusion rates after circumferential fusion using beta-tricalcium phosphate (Cerasorb) versus autologous iliac crest spongiosa].

    abstract:AIM:The aim of this prospective clinical trial was to analyse the ventral fusion rate following circumferential fusion for degenerative spine disease using a radiolucent carbon fibre cage (Brantigan, Fa. DePuy-Acromed) loaded with either autogeneous bone graft (iliac crest) or with the tricalcium phosphate Cerasorb wit...

    journal_title:Zeitschrift fur Orthopadie und Unfallchirurgie

    pub_type: 杂志文章,随机对照试验

    doi:10.1055/s-2007-965252

    authors: Hagel A,Zeh A,Hein W,Held A,Wohlrab D

    更新日期:2007-07-01 00:00:00

  • [Reconstruction of the heel in a two-year-old boy after lawn mower injury].

    abstract:INTRODUCTION:Lawn mower injuries in children usually involve the lower extremities and can lead to serious amputation injuries. Treatment should look not only at the acute reconstruction, but also on maintaining the ability to grow. We report the case of a two-year-old boy with amputation of the heel. CASE REPORT:The ...

    journal_title:Zeitschrift fur Orthopadie und Unfallchirurgie

    pub_type: 杂志文章

    doi:10.1055/s-0031-1298260

    authors: Kraus R,Albrecht J,Schnettler R,von Pichler M

    更新日期:2012-04-01 00:00:00

  • [Soft-tissue management in primary knee arthroplasty: common techniques, navigation and force-sensing devices].

    abstract::Soft-tissue management is essential for the outcome in total knee arthroplasty. In combination with osseous resections and component positioning, correction of the underlying ligamentous dysbalance should yield a stable joint throughout the flexion arc. Different "philosophies" with regard to technique, timing and tac...

    journal_title:Zeitschrift fur Orthopadie und Unfallchirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2007-965688

    authors: Schmidt F,Lampe F,Elfring R,Nebelung S,Mumme T,Andereya S,Radermacher K,Niethard FU,Müller-Rath R

    更新日期:2007-09-01 00:00:00

  • [S3 guideline. Part 2: Non-Traumatic Avascular Femoral Head Necrosis in Adults - Untreated Course and Conservative Treatment].

    abstract:BACKGROUND:In Germany there are 5000 to 7000 new cases of atraumatic avascular necrosis of the femoral head in adults per year. It occurs mostly in middle age. An increased frequency of idiopathic cases can be observed. Chemotherapy, corticoids and kidney transplants are frequently associated with the disease. In most ...

    journal_title:Zeitschrift fur Orthopadie und Unfallchirurgie

    pub_type: 杂志文章

    doi:10.1055/s-0035-1545903

    authors: Roth A,Beckmann J,Smolenski U,Fischer A,Jäger M,Tingart M,Rader C,Peters KM,Reppenhagen S,Nöth U,Heiss C,Maus U

    更新日期:2015-10-01 00:00:00

  • [Undergraduate curricular training in musculoskeletal ultrasound: the impact of preexisting anatomic knowledge].

    abstract:OBJECTIVE:The aim of this study was to evaluate the impact of students preexisting anatomic proficiency to address the fundamental problems related to musculoskeletal ultrasound (MSUS) training by assessing the peer-assisted learning (PAL) system. METHODS:Students without anatomic knowledge (first semester, n = 38) an...

    journal_title:Zeitschrift fur Orthopadie und Unfallchirurgie

    pub_type: 杂志文章

    doi:10.1055/s-0030-1250378

    authors: Knobe M,Sellei RM,Maus U,Mooij SC,Gradl G,Sopka S,Niethard FU,Pape HC

    更新日期:2010-12-01 00:00:00

  • [Graft integration in the lumbar spine of bovine cancellous bone compared to autologous iliac crest in a sheep model].

    abstract:BACKGROUND:Spinal injuries are common and a standard procedure for the stabilisation of spinal injuries is ventral spondylodesis with an autograft from the iliac crest. Because of the high incidence of harvesting complications there is a need to search for alternative materials. The aim of our study was to evaluate gra...

    journal_title:Zeitschrift fur Orthopadie und Unfallchirurgie

    pub_type: 杂志文章

    doi:10.1055/s-0030-1250060

    authors: Strohm PC,Kubosch DC,Sprecher CM,Schmal H,Südkamp NP,Milz S

    更新日期:2010-12-01 00:00:00

  • [Measurement on printed paper strips or on the ultrasound device with computer assistance - which technique is more accurate in paediatric hip ultrasound?].

    abstract:AIM:Two different measurement techniques of ultrasonograms of the infant hip were evaluated with respect to reproducibility of the Graf classification and variation of α- and β-angles. MATERIAL AND METHODS:In a cross-sectional, blinded study, the hips of 207 consecutive newborn babies (101 male; 106 female) were sonog...

    journal_title:Zeitschrift fur Orthopadie und Unfallchirurgie

    pub_type: 杂志文章

    doi:10.1055/s-0031-1298348

    authors: Peterlein CD,Schüttler KF,Timmesfeld N,Lakemeier S,Görg C,Fuchs-Winkelmann S,Schofer M

    更新日期:2012-04-01 00:00:00

  • [Successful surgical intervention for lumbar tuberculous spondylodiscitis in spite of delayed indication - 5 year follow-up].

    abstract::Tuberculosis constitutes an important clinical entity with 90 million new infections worldwide during the last decade. 10 % of these infections affect osseous structures based on haematogenous spread. Therefore, tuberculous spondylodiscitis remains a major illness in orthopaedics which needs to be considered in cases ...

    journal_title:Zeitschrift fur Orthopadie und Unfallchirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2008-1039246

    authors: Spies CK,Ohnsorge JA,Weisskopf M

    更新日期:2009-03-01 00:00:00

  • [Dynamic gait analysis of blocked distal tibiofibular joint following syndesmotic complex lesions].

    abstract:AIM:Dynamic gait analysis of blocked distal tibiofibular joint (TFJ) has not performed yet. This prospective study investigated patients treated for ankle fractures with combined syndesmotic complex lesions after surgery including tibiofibular positioning screw using CT data detecting fibular maltorsion and dynamic gai...

    journal_title:Zeitschrift fur Orthopadie und Unfallchirurgie

    pub_type: 临床试验,杂志文章

    doi:10.1055/s-0029-1185695

    authors: Vasarhelyi A,Lubitz J,Zeh A,Wohlrab D,Hein W,Mittlmeier T

    更新日期:2009-07-01 00:00:00

  • [Face injury from jamming in a power-operated window of a motor vehicle: a case report].

    abstract:INTRODUCTION:Automatic power-operated windows of modern motor vehicles present a risk of injury due to jam events. CASE REPORT:A 41-year-old man suffered an injury of his gingiva upon jamming of his face between the window and seal entry. The motor vehicle window that led to the injury had no closing force restriction...

    journal_title:Zeitschrift fur Orthopadie und Unfallchirurgie

    pub_type: 杂志文章

    doi:10.1055/s-0032-1327797

    authors: Hohendorff B,Burkhart KJ,Müller LP

    更新日期:2012-12-01 00:00:00

  • [What is the value of the whole body spiral CT in the primary radiological imaging of severely injured children?].

    abstract:AIM:Whole body spiral CT scans have become a routine method in the radiological imaging of severely injured patients in emergency rooms of an increasing number of hospitals. The routine use of CT scans is, however, still discussed controversially, especially with regard to its use in children. This is mainly due to the...

    journal_title:Zeitschrift fur Orthopadie und Unfallchirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2007-989438

    authors: Strohm PC,Uhl M,Hauschild O,Stankovic Z,Reising KJ,Lesniak M,Südkamp NP

    更新日期:2008-01-01 00:00:00

  • Undergraduate Curricular Training in Musculoskeletal Ultrasound by Student Teachers: The Impact of Peyton's Four-Step Approach.

    abstract:BACKGROUND:The aim of this study was to assess the impact of Peyton's 4-step approach on musculoskeletal ultrasound skills in a peer-teaching environment as compared to traditional "see one, do one" training and to evaluate students' acceptance of the training strategy. MATERIAL AND METHODS:A total of 491 second year ...

    journal_title:Zeitschrift fur Orthopadie und Unfallchirurgie

    pub_type: 杂志文章,随机对照试验

    doi:10.1055/a-0715-2435

    authors: Gradl-Dietsch G,Hitpaß L,Gueorguiev B,Nebelung S,Schrading S,Knobe M

    更新日期:2019-06-01 00:00:00

  • [3D-Navigated Implantation of Pedicle Screws in the Cervical Spine - Experience and Analysis of Complications].

    abstract::Background: Placing transpedicular screws in the cervical spine is a special challenge for spine surgeons, due to the anatomical features of this part of the spine. During the last 15 years, computer-aided navigation systems have been developed to facilitate this procedure and to make it safer for patients. One option...

    journal_title:Zeitschrift fur Orthopadie und Unfallchirurgie

    pub_type: 杂志文章

    doi:10.1055/s-0042-105957

    authors: Schiffer G,Goldmann S,Faymonville C,Müller L,Stein G

    更新日期:2016-10-01 00:00:00

  • [Anatomic reconstruction of hip joint biomechanics with the bone preserving Silent Micro Hip™ prosthesis].

    abstract:BACKGROUND:The design and the surgical technique of the Silent Micro Hip™ are different compared to other hip stems due to a conical shape for fixation within the metaphyseal femur. The purpose of the present study was to evaluate hip joint biomechanics of the Silent Micro Hip™ in comparison to other implants. Implant-...

    journal_title:Zeitschrift fur Orthopadie und Unfallchirurgie

    pub_type: 杂志文章

    doi:10.1055/s-0033-1350862

    authors: Ries C,Schopf W,Dietrich F,Franke S,Jakubowitz E,Sobau C,Heisel C

    更新日期:2013-10-01 00:00:00

  • [Accuracy of rotational positioning of the femoral component using the tibial-cut-first technique].

    abstract:AIM:Problems with the patellofemoral joint are still one of the most common difficulties after total knee arthroplasty. One of the main reasons for these problems seems to be the rotatory malposition of the femoral component. We examined the rotation of the femoral component and the symmetry of the flexion gap of knee ...

    journal_title:Zeitschrift fur Orthopadie und Unfallchirurgie

    pub_type: 杂志文章

    doi:10.1055/s-0029-1240587

    authors: Classen T,Wegner A,Müller RD,von Knoch M

    更新日期:2011-12-01 00:00:00

  • [The articular fracture of the lower limb].

    abstract:AIMS:The combination of a distal tibia fracture with an additional upper ankle joint injury is a challenge. Apart from various implants the intraoperative problem is the handling of these two injuries with appropriate reduction and retention. The existing and further developing soft tissue damage has to be taken into c...

    journal_title:Zeitschrift fur Orthopadie und Unfallchirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2008-1039265

    authors: Weber O,Müller MC,Goost H,Burger C,Kabir K,Wirtz D

    更新日期:2009-05-01 00:00:00

  • [Postarthroscopic glenohumeral chondrolysis--are there any causal factors? Case report].

    abstract:BACKGROUND:Postarthroscopic glenohumeral chondrolysis (PAGCL) is a rare complication of shoulder arthroscopy. PAGCL describes a chondrolysis in the shoulder joint after arthroscopy mostly affecting younger patients. The process leading to chondrolysis is not known yet. MATERIAL AND METHODS:The case report describes a ...

    journal_title:Zeitschrift fur Orthopadie und Unfallchirurgie

    pub_type: 杂志文章

    doi:10.1055/s-0030-1270919

    authors: Schröter S,Lutz O,Gonser CE,Ateschrang A,Badke A,Albrecht D

    更新日期:2011-12-01 00:00:00

  • [Significance of Helicopter Emergency Medical Service in Prehospital Trauma Care].

    abstract:BACKGROUND:In the late 1960s, the helicopter emergency medical service (HEMS) was established in Germany because of an increasing number of severe injuries in traffic accidents. To get a doctor quickly on scene was the initial intention, rather than transporting the patient. Today, rescue helicopters cover the entire f...

    journal_title:Zeitschrift fur Orthopadie und Unfallchirurgie

    pub_type: 杂志文章

    doi:10.1055/s-0035-1545801

    authors: Schweigkofler U,Braun J,Schlechtriemen T,Hoffmann R,Lefering R,Reimertz C

    更新日期:2015-08-01 00:00:00

  • [The Postero-Lateral Approach--An Alternative to Closed Anterior-Posterior Screw Fixation of a Dislocated Postero-Lateral Fragment of the Distal Tibia in Complex Ankle Fractures].

    abstract:BACKGROUND:The dislocated posterolateral fragment of the distal tibia is considered as a key fragment for the successful reduction of comminuted ankle fractures. The reduction of this fragment can either be achieved indirectly by joint reduction using the technique of closed anterior-posterior screw fixation, or direct...

    journal_title:Zeitschrift fur Orthopadie und Unfallchirurgie

    pub_type: 杂志文章

    doi:10.1055/s-0035-1545706

    authors: von Rüden C,Hackl S,Woltmann A,Friederichs J,Bühren V,Hierholzer C

    更新日期:2015-06-01 00:00:00

  • Arthroskopische Therapie bei spinoglenoidalem Ganglion.

    abstract::Aims and Indications A paralabral ganglion cyst of the shoulder can cause neuropathy of the inferior branches of the suprascapular nerve. This can lead to atrophy of the infraspinatus muscle. Arthroscopic decompression of the cyst in combination with repair of the associated labrum tear appears to be an effective trea...

    journal_title:Zeitschrift fur Orthopadie und Unfallchirurgie

    pub_type: 杂志文章,评审

    doi:10.1055/s-0043-100628

    authors: Rueckl K,Konrads C,Barthel T,Rudert M,Boettner F,Plumhoff P

    更新日期:2017-02-01 00:00:00

  • [Introduction of a new intervertebral spacer for cervical fusion: results of a controlled animal study].

    abstract:AIM:This study investigated the fusion properties of a new intervertebral spacer that is directly fixed to the adjacent vertebrae by screws. The new spacer was compared with an identical spacer without direct fixation but with an additional plate and with an autologous bone graft. METHODS:A single-level, cervical fusi...

    journal_title:Zeitschrift fur Orthopadie und Unfallchirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2007-965798

    authors: Schreiner U,Scheller G,Chen C,Schwarz M

    更新日期:2007-11-01 00:00:00

  • [Livestock-Associated Methicillin-Resistant Staphylococcus aureus: Epidemiological Data from an Orthopaedic Department in North-West Germany].

    abstract::Background MRSA represents a considerable health threat to orthopaedic patients. Throughout the last decade, livestock-associated MRSA emerged increasingly in livestock all over Europe. LA-MRSA broke the species barrier, colonizing and causing infections in humans. Nevertheless, to date there are no studies concerning...

    journal_title:Zeitschrift fur Orthopadie und Unfallchirurgie

    pub_type: 杂志文章

    doi:10.1055/s-0043-103457

    authors: Maier GS,Thorey F,Kolbow K,Lazovic D,Lühmann M,Ohnsorge J,Maus U

    更新日期:2017-06-01 00:00:00

  • [Extra-articular recurrent bleeding from the medial retinaculum].

    abstract::A young woman had subcutaneous bleeding at the retinaculum of the left knee after minor trauma. A small vein was attached to the scar and repeatedly ruptured after several other small traumas. Conservative therapy had no impact on the genesis of the bleeding. Having gone through severe bleeding situations with massive...

    journal_title:Zeitschrift fur Orthopadie und Unfallchirurgie

    pub_type: 杂志文章

    doi:10.1055/s-0029-1240786

    authors: Jacob DA,Haase N,Lindner T,Haase T

    更新日期:2010-09-01 00:00:00

  • [Clinical and Radiological Results after Anterior Cervical Corpectomy with Cage Fusion - a Retrospective Comparison of PEEK vs. Titanium Cages].

    abstract::Background Anterior cervical corpectomy and fusion (ACCF) has become a standard procedure for patients with spondylotic myelopathy due to multisegmental stenosis of the cervical canal. Beside the fusion technique using autogenous bone grafts, synthetic cages have been increasingly used in recent years. Published infor...

    journal_title:Zeitschrift fur Orthopadie und Unfallchirurgie

    pub_type: 杂志文章

    doi:10.1055/s-0042-118717

    authors: Schulz C,Mauer UM,Mathieu R

    更新日期:2017-04-01 00:00:00