지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2025.3
- 수록면
- 31 - 39 (9page)
이용수
초록· 키워드
오류제보하기
Background: This study sought to evaluate the effectiveness of a combined treatment approach for septic shoulder arthritis involving arthroscopic synovectomy and use of antibiotic-impregnated polymethylmethacrylate (PMMA) beads for localized antibiotic delivery.
Methods: This retrospective study included 22 patients with septic shoulder arthritis treated at our institution between 2017 and 2023. The treatment involved arthroscopic lavage, debridement, and insertion of antibiotic-impregnated PMMA beads. Patients were evaluated preoperatively and postoperatively based on laboratory tests, imaging, joint fluid analysis, and physical examination. Treatment efficacy was assessed based on normalization of C-reactive protein (CRP) levels, pain reduction as measured using a visual analog scale (VAS), and improvement in shoulder function according to Constant-Murley score.
Results: All 22 patients demonstrated successful resolution of infection, with only one case of recurrence, leading to a notably low recurrence rate of 5%. Recurrence was determined based on clinical signs (aggravated pain, swelling, and fever) and laboratory markers (elevated CRP and white blood cell count). Mean follow-up duration was 20.2 months. Significant reductions in pain (average VAS score reduction from 8.1 to 2.4, P<0.001) were observed, and mean Constant-Murley score at final follow-up was 60.7, reflecting improved shoulder function.
Conclusions: Arthroscopic debridement combined with localized antibiotic delivery using PMMA beads is an effective and safe treatment for septic shoulder arthritis. This method offers substantial advantages over traditional treatments, as evidenced by the very low recurrence rate.
Methods: This retrospective study included 22 patients with septic shoulder arthritis treated at our institution between 2017 and 2023. The treatment involved arthroscopic lavage, debridement, and insertion of antibiotic-impregnated PMMA beads. Patients were evaluated preoperatively and postoperatively based on laboratory tests, imaging, joint fluid analysis, and physical examination. Treatment efficacy was assessed based on normalization of C-reactive protein (CRP) levels, pain reduction as measured using a visual analog scale (VAS), and improvement in shoulder function according to Constant-Murley score.
Results: All 22 patients demonstrated successful resolution of infection, with only one case of recurrence, leading to a notably low recurrence rate of 5%. Recurrence was determined based on clinical signs (aggravated pain, swelling, and fever) and laboratory markers (elevated CRP and white blood cell count). Mean follow-up duration was 20.2 months. Significant reductions in pain (average VAS score reduction from 8.1 to 2.4, P<0.001) were observed, and mean Constant-Murley score at final follow-up was 60.7, reflecting improved shoulder function.
Conclusions: Arthroscopic debridement combined with localized antibiotic delivery using PMMA beads is an effective and safe treatment for septic shoulder arthritis. This method offers substantial advantages over traditional treatments, as evidenced by the very low recurrence rate.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
CONCLUSIONS
REFERENCES
참고문헌 (0)
참고문헌 신청함께 읽어보면 좋을 논문
논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!
-
Arthroscopic Treatment of Septic Arthritis of the Shoulder: Decision-Making for Reoperation
대한견주관절의학회지
2020 .03
-
MRI as a Key Predictor in Recurrence of Septic Shoulder
대한견주관절의학회 학술대회논문집
2021 .03
-
A comparative study on the usefulness of antibiotic-loaded collagen sponge in the arthroscopic treatment for acute septic arthritis of the native shoulder
대한견주관절의학회 학술대회논문집
2022 .04
-
Arthroscopic Treatment for Septic Arthritis of the Shoulders in Neonates : A Case Report
대한견주관절의학회지
2016 .09
-
Shoulder Pain Caused by Injuries in Korean Elite Archers
대한스포츠의학회지
2021 .12
-
Arthroscopic release in adhesive capsulitis of the shoulder: a retrospective study with 2 to 6 years of follow-up
대한견주관절의학회지
2021 .09
-
견관절 화농성 관절염의 관절경적 변연절제술: 감염 후 관절염은 피할수 없는 결과인가 ?
대한견주관절의학회 학술대회논문집
2018 .03
-
어깨통증의 한의학적 치료에 대한 국내 임상 연구 고찰
대한한의학회지
2020 .09
-
Constant score in asymptomatic shoulders varies with different demographic populations: derivation of adjusted score equation
대한견주관절의학회지
2022 .12
-
Arthroscopic Treatment of Septic Arthritis of the Shoulder: Technical Pearls to Reduce the Rate of Reoperation
대한견주관절의학회지
2020 .03
-
Improving visualization in shoulder arthroscopy
대한견주관절의학회지
2023 .12
-
New Light upon Your Shoulders
대한견주관절의학회지
2016 .12
-
The Influence of Health Perception on Shoulder Outcome Measure Scores
대한견주관절의학회지
2019 .12
-
Short-term comparative outcomes between reverse shoulder arthroplasty for shoulder trauma and shoulder arthritis: a Southeast Asian experience
대한견주관절의학회지
2022 .09
-
Clinical outcome and arthroscopic findings of anterior shoulder stabilization in patients older than 40 years
대한견주관절의학회 학술대회논문집
2015 .04
-
Correlation between Results of Preoperative Impingement Test and Clinical Outcomes after Arthroscopic Rotator Cuff Repair
대한견주관절의학회지
2017 .09
-
Septic arthritis of the temporomandibular joint: a case report
대한구강악안면외과학회지
2016 .01
-
Long-term results of arthroscopic surgery for posterior shoulder instability
대한견주관절의학회 학술대회논문집
2017 .03
-
Dynamic ultrasonography of the shoulder
ULTRASONOGRAPHY
2018 .01
-
어깨 통증의 비수술적 치료
대한의사협회지
2022 .11
최근 본 자료
댓글(0)
0
UCI(KEPA) : I410-151-25-02-092501006