Sunday, June 21, 2020

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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We have a new set of shoulder youtubes about the shoulder, check them out at this link.

Be sure to visit "Ream and Run - the state of the art" regarding this radically conservative approach to shoulder arthritis at this link and this link

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You may be interested in some of our most visited web pages  arthritis, total shoulder, ream and runreverse total shoulderCTA arthroplasty, and rotator cuff surgery as well as the 'ream and run essentials'