{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T15:47:18Z","timestamp":1778255238575,"version":"3.51.4"},"reference-count":19,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2019,6,10]],"date-time":"2019-06-10T00:00:00Z","timestamp":1560124800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2019,6,10]],"date-time":"2019-06-10T00:00:00Z","timestamp":1560124800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2019,6,10]],"date-time":"2019-06-10T00:00:00Z","timestamp":1560124800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2019,6,10]],"date-time":"2019-06-10T00:00:00Z","timestamp":1560124800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/100007821","name":"AlloSource","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007821","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007307","name":"Arthrex","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007307","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100004374","name":"Medtronic","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004374","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100008894","name":"Stryker","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008894","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007821","name":"AlloSource","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007821","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007307","name":"Arthrex","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007307","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Athletico"},{"name":"Linvatec"},{"DOI":"10.13039\/100008894","name":"Stryker","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008894","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100004374","name":"Medtronic","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004374","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Bioventus"}],"content-domain":{"domain":["arthroscopyjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2019,7]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To compare the efficacy, as measured through the rate of reoperation, and rates of other 30\u2010day perioperative complications between arthrotomy and arthroscopy for the treatment of septic native shoulders in a national patient population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients who were diagnosed with septic arthritis in a native shoulder and underwent irrigation and debridement through arthrotomy or arthroscopy were identified in the 2005\u20102016 National Surgical Quality Improvement Program database. Patient preoperative characteristics were characterized. Rate of reoperation, a proxy used to measure treatment efficacy, and other perioperative complications were compared between the 2 procedures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In total, 100 patients undergoing shoulder arthrotomy and 155 patients undergoing shoulder arthroscopy for septic shoulder were identified. On univariate analysis, there were no statistically significant differences in patient preoperative characteristics, operative time (60 vs. 48\u00a0minutes,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .290), length of stay (7.5 vs. 6.6\u00a0days,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .267), or time to reoperation (8.9 vs. 7.2\u00a0days,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .594) between the 2 surgical groups. On multivariate analysis controlling for patient characteristics, there were no statistically significant differences in risk of reoperation (relative risk [RR]\u00a0= 1.914, 99% confidence interval [CI]\u00a0= 0.730\u20105.016,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .083), any adverse events (RR\u00a0= 1.254, 99% CI\u00a0= 0.860\u20101.831,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .122), minor adverse events (RR\u00a0= 1.304, 99% CI\u00a0= 0.558\u20103.047,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .421), serious adverse events (RR\u00a0= 1.306, 99% CI\u00a0= 0.842\u20102.025,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .118), or readmission (RR\u00a0= 0.999, 99% CI\u00a0= 0.441\u20102.261,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .998) comparing arthrotomy with arthroscopy.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>By demonstrating similar rates of reoperation, other postoperative complications, and 30\u2010day readmissions, the current study suggests that arthrotomy and arthroscopic surgery have similar efficacy in treating septic shoulders. However, owing to the small sample size, there is still the possibility of a type II error.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, therapeutic retrospective comparative study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2019.02.036","type":"journal-article","created":{"date-parts":[[2019,6,10]],"date-time":"2019-06-10T17:59:32Z","timestamp":1560189572000},"page":"1984-1991","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":18,"title":["Surgical Treatment of Septic Shoulders: A Comparison Between Arthrotomy and Arthroscopy"],"prefix":"10.1002","volume":"35","author":[{"given":"Patawut","family":"Bovonratwet","sequence":"first","affiliation":[{"name":"Department of Orthopaedics and Rehabilitation Yale School of Medicine New Haven Connecticut U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael C.","family":"Fu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Hospital for Special Surgery New York New York U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Neil","family":"Pathak","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Rehabilitation Yale School of Medicine New Haven Connecticut U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nathaniel T.","family":"Ondeck","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Hospital for Special Surgery New York New York U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel D.","family":"Bohl","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Rush University Medical Center Chicago Illinois U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shane J.","family":"Nho","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Rush University Medical Center Chicago Illinois U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan N.","family":"Grauer","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Rehabilitation Yale School of Medicine New Haven Connecticut U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,6,10]]},"reference":[{"key":"e_1_2_3_2_2","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-D-16-00103"},{"key":"e_1_2_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2017.04.001"},{"key":"e_1_2_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2017.07.038"},{"key":"e_1_2_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2012.05.033"},{"key":"e_1_2_3_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12306-014-0317-0"},{"key":"e_1_2_3_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000002356"},{"key":"e_1_2_3_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2017.01.052"},{"key":"e_1_2_3_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11999.0000000000000099"},{"key":"e_1_2_3_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-015-3918-8"},{"key":"e_1_2_3_11_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0037-1598079"},{"key":"e_1_2_3_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/BSD.0000000000000615"},{"key":"e_1_2_3_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2017.11.011"},{"key":"e_1_2_3_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2017.05.028"},{"key":"e_1_2_3_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2017.06.046"},{"key":"e_1_2_3_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.joca.2016.01.008"},{"key":"e_1_2_3_17_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.K.01240"},{"key":"e_1_2_3_18_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.100B2.BJJ-2017-0895.R1"},{"key":"e_1_2_3_19_2","unstructured":"ACS\u2010NSQIP. User Guide for the 2015 ACS NSQIP Participant Use Data File. American College of Surgeons.https:\/\/www.facs.org\/~\/media\/files\/quality%20programs\/nsqip\/nsqip_puf_user_guide_2015.ashx."},{"key":"e_1_2_3_20_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-017-5236-6"}],"container-title":["Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S074980631930194X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S074980631930194X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2019.02.036","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.arthro.2019.02.036","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2019.02.036","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T08:46:41Z","timestamp":1773564401000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.arthro.2019.02.036"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,6,10]]},"references-count":19,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2019,7]]}},"alternative-id":["10.1016\/j.arthro.2019.02.036"],"URL":"https:\/\/doi.org\/10.1016\/j.arthro.2019.02.036","archive":["Portico"],"relation":{},"ISSN":["0749-8063","1526-3231"],"issn-type":[{"value":"0749-8063","type":"print"},{"value":"1526-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,6,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Surgical Treatment of Septic Shoulders: A Comparison Between Arthrotomy and Arthroscopy","name":"articletitle","label":"Article Title"},{"value":"Arthroscopy: The Journal of Arthroscopic & Related Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.arthro.2019.02.036","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2019 Published by Elsevier on behalf of the Arthroscopy Association of North America","name":"copyright","label":"Copyright"}]}}