Preventing Infections in Reverse Shoulder Arthroplasty.

IF 2.9 2区医学 Q1 ORTHOPEDICS Current Reviews in Musculoskeletal Medicine Pub Date : 2024-11-01 Epub Date: 2024-08-02 DOI:10.1007/s12178-024-09918-7

Maarouf A Saad, Michael A Moverman, Adrik Z Da Silva, Peter N Chalmers

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Abstract

Purpose of review: Reverse shoulder arthroplasty (rTSA) is a commonly performed procedure to treat degenerative conditions of the shoulder. With its growing utilization, techniques to reliably diagnose and treat prosthetic joint infection (PJI) have become increasingly important. In this review we outline the current research and prevention methods of prosthetic joint infection in rTSA. This includes preoperative considerations, intraoperative, and postoperative treatment algorithms.

Recent findings: There is currently no established standardized protocol for preoperative infection prevention or post operative management. However, recent studies have identified risk factors for infection, as well as successful prevention techniques that can be implemented to minimize infection risk. Although there is no standardized protocol currently utilized to diagnose and treat shoulder PJI, we outline a potential set of preventative measures and postoperative management strategies that clinicians can use to properly diagnose and treat patients with this difficult condition.

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预防反向肩关节置换术中的感染。

审查目的：反向肩关节置换术（rTSA）是治疗肩关节退行性病变的常用手术。随着其使用率的不断提高，可靠诊断和治疗假体关节感染（PJI）的技术变得越来越重要。在这篇综述中，我们概述了目前对 rTSA 中假体关节感染的研究和预防方法。这包括术前考虑、术中和术后治疗算法：目前还没有一套成熟的术前感染预防或术后管理标准方案。不过，最近的研究已经确定了感染的风险因素，以及可以将感染风险降至最低的成功预防技术。虽然目前还没有用于诊断和治疗肩关节 PJI 的标准化方案，但我们概述了一套潜在的预防措施和术后管理策略，临床医生可利用这些措施和策略来正确诊断和治疗患有这种疑难病症的患者。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Reviews in Musculoskeletal Medicine ORTHOPEDICS-

CiteScore

7.50

自引率

2.40%

发文量

期刊介绍： This journal intends to review the most significant recent developments in the field of musculoskeletal medicine. By providing clear, insightful, balanced contributions by expert world-renowned authors, the journal aims to serve all those involved in the diagnosis, treatment, management, and prevention of musculoskeletal-related conditions. We accomplish this aim by appointing authorities to serve as Section Editors in key subject areas, such as rehabilitation of the knee and hip, sports medicine, trauma, pediatrics, health policy, customization in arthroplasty, and rheumatology. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. We also provide commentaries from well-known figures in the field, and an Editorial Board of more than 20 diverse members suggests topics of special interest to their country/region and ensures that topics are current and include emerging research.