• Der Unfallchirurg · Jun 2015

    Controlled Clinical Trial

    [Postoperative implant-associated osteomyelitis of the shoulder : Hardware-retaining revision concept using temporary drainage.]

    • M Schnetzke, S Aytac, P Herrmann, C Wölfl, P A Grützner, V Heppert, and T Guehring.
    • Klinik für Unfallchirurgie und Orthopädie, BG Unfallklinik Ludwigshafen, Ludwig-Guttmann-Straße 13, 67071, Ludwigshafen, Deutschland.
    • Unfallchirurg. 2015 Jun 1; 118 (6): 520-6.

    BackgroundPosttraumatic and postoperative osteomyelitis (PPO) is a subgroup of bone infections with increasing importance. However, to date no standardized reoperation concept exists particularly for patients with PPO of the shoulder region. Therefore the purpose of this study was to evaluate a revision concept including débridement, irrigation, and insertion of temporary drainage with hardware retention until healing.Patients And MethodsA total of 31 patients with PPO were included with a proximal humerus fracture (n = 14), clavicle fracture (n = 10), or AC-joint separation (n = 7). In all, 27 of these patients could be followed for > 1 year.ResultsHardware retention until fracture or ligament healing could be achieved in > 83%. Six patients required follow-up débridement due to recurrent infections, but then were unremarkable. Clinical outcome showed excellent Constant scores (91.6 ± 2.8).ConclusionA cost-efficient, simple, and successful revision concept for patients with PPO of the shoulder region is described.

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