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Should modular components be exchanged during irrigation and debridement (I&D) of acute shoulder periprosthetic joint infection (PJI)?

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posted on 2018-12-12, 00:00 authored by Richard PageRichard Page, james Beazley, Nicola Lippino
A thorough search of the PubMed database for manuscripts addressing the exchange of modular parts during shoulder I&D for acute PJI was undertaken. Five papers were found that recorded if modular components were exchanged [1–5], totalling 53 patients. The pooled infection-free survivorship was 65% in the “modular exchange group” (19/29) versus 58% (14/24) in the “no exchange group” (p = 0.77 Fisher’s exact test).
Of these papers, three [1,3,5] specified the outcome for patients with acute debridement and retention with and without modular exchange. In total, 10 patients underwent acute debridement and retention of prosthesis without modular exchange with an infection free survivorship of 70% (7/10). Eight patients are recorded as having undergone poly exchange during debridement of an acute infection, with an infection free survivorship of 62.5% (5/8; p > 0.05).

History

Title of book

Proceedings of the Second International Consensus Meeting on Musculoskeletal Infection

Volume

Part 3 Shoulder

Chapter number

3

Pagination

606 - 607

Publisher

Data Trace Publishing Company

Place of publication

Maryland

ISBN-13

978-1-57400-157-0

Publication classification

BN Other book chapter, or book chapter not attributed to Deakin

Editor/Contributor(s)

Javad Parvizi, Thorsten Gehrke

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