{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T06:58:29Z","timestamp":1785308309861,"version":"3.55.0"},"reference-count":14,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"6","license":[{"start":{"date-parts":[[2005,6,1]],"date-time":"2005-06-01T00:00:00Z","timestamp":1117584000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Bone and Joint Surgery. British volume"],"published-print":{"date-parts":[[2005,6]]},"abstract":"<jats:p> There are few reports in the literature of the diagnosis and treatment of the infected shoulder arthroplasty. Most deal with resection arthroplasty and two-stage exchange surgery. We present our results of one-stage exchange operation as treatment for the infected shoulder arthroplasty. <\/jats:p><jats:p> Our group comprised 16 patients (ten men, six women) with 16 infected arthroplasties. By the time of follow-up, two patients had died (mean 5.8 years), two could not be located and three had already undergone revision surgery. Nine patients were thus available for clinical examination and assessment. <\/jats:p><jats:p> The infections were largely caused by staphylococci, Propionibacterium species and streptococci. Two were early infections (within three months of surgery) and 14 were late infections. The mean follow-up was 5.8 years (13 months to 13.25 years) when the mean Constant-Murley score was 33.6 points and the mean University College of Los Angeles score 18.3 points. <\/jats:p><jats:p> Further revision was performed in three patients. One sustained a peri-prosthetic humeral fracture, another developed an acromial pseudarthrosis after transacromial surgery and the third suffered recurrent dislocations. No patient had a recurrence of infection. <\/jats:p><jats:p> A one-stage exchange procedure using antibiotic-loaded bone cement eradicated infection in all our patients and we suggest that such a procedure is at least as successful as either a resection arthroplasty or a two-stage exchange in the management of the infected shoulder arthroplasty. <\/jats:p>","DOI":"10.1302\/0301-620x.87b6.15920","type":"journal-article","created":{"date-parts":[[2005,5,23]],"date-time":"2005-05-23T18:33:29Z","timestamp":1116873209000},"page":"814-818","source":"Crossref","is-referenced-by-count":144,"title":["One-stage exchange shoulder arthroplasty for peri-prosthetic infection"],"prefix":"10.1302","volume":"87-B","author":[{"given":"A.","family":"Ince","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.","family":"Seemann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.","family":"Frommelt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Katzer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. F.","family":"Loehr","sequence":"additional","affiliation":[{"name":"Research Unit ENDO-Klinik Orthopaedic Surgery, Holstenstrasse 2, 22767 Hamburg, Germany."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"42","reference":[{"key":"R1","unstructured":"Cofield RH, Edgerton BC. Total shoulder arthroplasty: complications and revision surgery. Instr Course Lect 1990;39:449\u201362."},{"key":"R2","doi-asserted-by":"crossref","unstructured":"Codd TP, Yamaguchi K, Flatow EL. Infected shoulder arthroplasties: treatment with staged reimplantation versus resection arthroplasty. Orthop Trans 1996;20:59.","DOI":"10.1016\/S1058-2746(96)80085-1"},{"key":"R3","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198365080-00008"},{"key":"R4","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-200101000-00028"},{"key":"R5","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.86B1.14089"},{"key":"R6","doi-asserted-by":"crossref","unstructured":"Constant CR, Murley AH. A clinical method of functional assessment of the shoulder. Clin Orthop 1987;214:160\u20134.","DOI":"10.1097\/00003086-198701000-00023"},{"key":"R7","doi-asserted-by":"crossref","unstructured":"Ellman H, Hanker G, Bayer M. Repair of the rotator cuff: end-result study of factors influencing reconstruction. J Bone Joint Surg [Am] 1986;68-A:1136\u201344.","DOI":"10.2106\/00004623-198668080-00002"},{"key":"R8","unstructured":"Robert Koch Institut Berlin. Anlage 5.1. Richtlinie f\u00fcr krankenhaushygiene und infektionspr\u00e4vention. M\u00fcnchen: Elsevier, Urban and Fischer, 2003:7\u20138 (in German)."},{"key":"R9","unstructured":"Caselitz FH, Freitag V. Halbfl\u00fcssiges kombinations nahr medium (TVLS-Medium) zur Z\u00fcchtung anaerober Bakterien. Aerztl Lab 1969;15:426\u201330 (in German)."},{"key":"R10","doi-asserted-by":"publisher","DOI":"10.1055\/s-0028-1115106"},{"key":"R11","unstructured":"DIN Seutsches Institut f\u00fcr Normung e.V. Empfindlichkeitspr\u00fcfung von mikrobiellin Krankheitserregern gegen Chemotherapeutika. DIN 58940 Teil 1\u20135. DIN Tachenbuch 222: Medizinische Mikrobiologie und Immunologie. Diagnostiche Verfahren., Third ed. Berlin etc: Beuth-Verlag GmbH, 2000:153\u2013206 (in German)."},{"key":"R12","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-003-0497-9"},{"key":"R13","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199604000-00018"},{"key":"R14","doi-asserted-by":"publisher","DOI":"10.1099\/0022-1317-51-10-899"}],"container-title":["The Journal of Bone and Joint Surgery. British volume"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.87B6.15920","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/full-xml\/10.1302\/0301-620X.87B6.15920","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.87B6.15920","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,8,16]],"date-time":"2021-08-16T20:04:39Z","timestamp":1629144279000},"score":1,"resource":{"primary":{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/10.1302\/0301-620X.87B6.15920"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2005,6]]},"references-count":14,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2005,6]]}},"alternative-id":["10.1302\/0301-620X.87B6.15920"],"URL":"https:\/\/doi.org\/10.1302\/0301-620x.87b6.15920","relation":{},"ISSN":["0301-620X","2044-5377"],"issn-type":[{"value":"0301-620X","type":"print"},{"value":"2044-5377","type":"electronic"}],"subject":[],"published":{"date-parts":[[2005,6]]}}}