Format

Send to

Choose Destination
See comment in PubMed Commons below
Strategies Trauma Limb Reconstr. 2010 Aug;5(2):111-4. doi: 10.1007/s11751-010-0086-8. Epub 2010 Apr 14.

Preservation of the shoulder joint by the use of a hybrid-spacer after septic loosening of a reversed total shoulder joint arthroplasty: a case report.

Author information

1
Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Friedrich-Schiller Universität Jena, Erlanger Allee 101, 07747, Jena, Germany, steffenbrodt@gmail.com.

Abstract

Infections of a total joint replacement (TJR) of the shoulder are rare complications. After revision surgery, the incidence rises dramatically. If infection occurs, it leads to a loss of function and may be devastating to the joint. Treatment options range from single- to multiple-staged revision programs, permanent resection arthroplasty or exarticulation. In this case, a reversed shoulder endoprosthesis, which was implanted after multiple revisions of a TJR due to a posttraumatic omarthrosis and rotator cuff insufficiency, got infected. A hybrid-spacer, made of a humeral nail and a custom-made PMMA spacer forming the humeral head, was used during the revision program. After two operations, clinical and paraclinical signs turned back to normal. The patient felt well and was satisfied with the result of the therapy. The hybrid-spacer was then left in situ as a definitive solution with a satisfying range of motion. This case report shows that a hybrid-spacer can be helpful in the treatment of an infected shoulder TJR.

KEYWORDS:

Hybrid-spacer; Infection; Shoulder; TJR

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 ...
    Support Center