| Autor: |
Brodt S; Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Friedrich-Schiller Universität Jena, Erlanger Allee 101, 07747, Jena, Germany, steffenbrodt@gmail.com., Hofmann GO, Tiemann AH |
| Jazyk: |
angličtina |
| Zdroj: |
Strategies in trauma and limb reconstruction [Strategies Trauma Limb Reconstr] 2010 Aug; Vol. 5 (2), pp. 111-4. Date of Electronic Publication: 2010 Apr 14. |
| DOI: |
10.1007/s11751-010-0086-8 |
| Abstrakt: |
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. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
|
Full text from SpringerLink