Monday, August 11, 2025

Back to swimming after single stage revision for Cutibacterium Periprosthetic Infection

Unless there is gross pus or a draining sinus, our approach for an infected arthroplasty is a single stage revision to an impaction allografted hemiarthroplasty, see this link.

Here's a case example


He returned to his favorite sport of swimming as shown below


After years of successful function he experienced the unexplained onset of pain and stiffness with a drop in his Simple Test score from 12/12 to 3/12.

He had a single stage revision with prosthesis exchange using impaction allograft followed by 6 weeks of IV Ceftriaxone and 6 months of PO Doxycyline.

He returned to swimming and now three years after his single stage revision his shoulder continues to function well with a Simple Test Score of 11/12


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Here are some videos that are of shoulder interest
Shoulder arthritis - what you need to know (see this link).
How to x-ray the shoulder (see this link).
The ream and run procedure (see this link).
The total shoulder arthroplasty (see this link).
The cuff tear arthropathy arthroplasty (see this link).
The reverse total shoulder arthroplasty (see this link).
The smooth and move procedure for irreparable rotator cuff tears (see this link)
Shoulder rehabilitation exercises (see this link).