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VOLUME 8 , ISSUE 3 ( November, 2013 ) > List of Articles

TECHNICAL REPORT

Antibiotic-impregnated cement spacer as a definitive treatment for post-arthroscopy shoulder destructive osteomyelitis: case report and review of literature

Sleiman Haddad, Pablo S. Corona, Maria M. Reverté, Carles Amat, Xavier Flores

Keywords : Shoulder, Arthroscopy, Destructive, Infection, Cement, Spacer

Citation Information : Haddad S, Corona PS, Reverté MM, Amat C, Flores X. Antibiotic-impregnated cement spacer as a definitive treatment for post-arthroscopy shoulder destructive osteomyelitis: case report and review of literature. 2013; 8 (3):199-205.

DOI: 10.1007/s11751-013-0176-5

License: CC BY-NC-SA 4.0

Published Online: 30-11-2013

Copyright Statement:  Copyright © 2013; The Author(s).


Abstract

Arthroscopic revision of rotator cuff lesions is an increasingly popular procedure with a relatively safe profile. However, associated deep articular infection has been described, with potentially destructive joint sequelae. When occurring, it poses the double challenge of eradicating the infectious agent while preserving the articulation and its function. Experience remains scarce and is mostly based on case reports and small series. These also rely on the evidence from the better-described lower extremity joint infections. Through a complex case, the following report addresses this exceptional situation and offers an unusual solution, taking into consideration the peculiarities of the shoulder joint. With the consent of the patient, a single-stage resection arthroplasty with the implantation of an antibiotic-impregnated cement spacer was performed as a long-lasting—if not definite—treatment. After 4 years, the patient maintains excellent function with no radiological signs of wear or loosening.


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