Resection arthroplasty for periprosthetic infection after total elbow arthroplasty

Background Periprosthetic infection after total elbow arthroplasty (TEA) is a serious complication that has no clearly defined treatment. The purpose of this study was to report the outcomes of resection arthroplasty for treatment of infection after TEA and the factors influencing the result. Method...

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Bibliographic Details
Published in:Journal of shoulder and elbow surgery 2016-01, Vol.25 (1), p.105-111
Main Authors: Rhee, Yong Girl, MD, Cho, Nam Su, MD, Park, Jung Gwan, MD, Song, Jong Hoon, MD
Format: Article
Language:English
Subjects:
Adult
Aged
Arthroplasty, Replacement, Elbow - adverse effects
Elbow
Elbow Joint - physiopathology
Elbow Joint - surgery
Female
Follow-Up Studies
Humans
Humerus - surgery
infection
Male
Middle Aged
Orthopedics
Patient Satisfaction
Prosthesis-Related Infections - etiology
Prosthesis-Related Infections - surgery
Recurrence
Reoperation
resection arthroplasty
Salvage Therapy
Time Factors
total elbow arthroplasty
Treatment Outcome
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Summary:Background Periprosthetic infection after total elbow arthroplasty (TEA) is a serious complication that has no clearly defined treatment. The purpose of this study was to report the outcomes of resection arthroplasty for treatment of infection after TEA and the factors influencing the result. Methods Ten elbows (9 patients) underwent resection arthroplasty for treatment of infection after TEA. The mean follow-up duration was 52.4 (range, 24-113) months. According to remnant distal humerus bone stock, we divided the elbows into 3 groups: lateral column, medial column, and both columns. Results The average time to resolution of symptoms of clinical infection and normalization of serologic marker levels was 6.8 (range, 5-12) and 68.5 (range, 20-148) days after resection. The mean Mayo Elbow Performance Score and Disabilities of the Arm, Shoulder, and Hand score changed from 50.0 (range, 40-60) and 46.5 (range, 29-67) preoperatively to 73.5 (range, 55-85) and 53.0 (range, 33-65) at the last follow-up ( P  
ISSN:1058-2746
1532-6500
DOI:10.1016/j.jse.2015.08.045