Format

Send to:

Choose Destination
See comment in PubMed Commons below
Clin Orthop Relat Res. 2008 Jun;466(6):1363-7. doi: 10.1007/s11999-008-0226-3. Epub 2008 Apr 18.

Infection associated with hematoma formation after shoulder arthroplasty.

Author information

  • 1Department of Orthopedic Surgery, Stanford University, 300 Pasteur Drive, R-155, Stanford, CA 94305-5335, USA. evcheung@stanford.edu

Abstract

Hematoma formation requiring operative treatment after shoulder arthroplasty may be associated with higher patient morbidity. We therefore determined whether there was an association of hematoma formation requiring operative treatment with deep infection after shoulder arthroplasty. Between 1978 and 2006, we performed 4147 shoulder arthroplasties in 3643 patients. Of these, 12 shoulders (0.3%) underwent reoperation for hematoma formation. The mean time interval from arthroplasty to surgery for the hematoma was 7 days (range, 0.5-31 days). Among nine cases in which cultures were taken, six had positive cultures; the organisms included Propionibacterium acnes in three, Staphylococcus epidermidis in one, Streptococcus species in one, and Staphylococcus epidermidis with Peptostreptococcus in one. The minimum followup was 12 months (mean, 68 months; range, 12 to 294 months). Two of the 12 patients eventually underwent resection arthroplasty for deep infection. The Neer score was excellent in one, satisfactory in six, and unsatisfactory in five patients. The data suggest hematoma formation after shoulder arthroplasty is often accompanied by positive intraoperative cultures. The surgeon should be aware of the high rate of unsatisfactory results associated with this complication as well as the possibility of developing a deep infection requiring additional surgery.

LEVEL OF EVIDENCE:

Level IV, prognostic study. See Guidelines for Authors for a complete description of levels of evidence.

PMID:
18421541
[PubMed - indexed for MEDLINE]
PMCID:
PMC2384030
Free PMC Article
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Springer Icon for PubMed Central
    Loading ...
    Write to the Help Desk