CLINICAL CASE OF INFECTION TREATMENT AFTER ARTHROSCOPIC REPAIR OF ROTATOR CUFF

• Main Authors: S. Y. Dokolin, V. A. Artyukh, V. I. Kuzmina, V. N. Liventsov
• Format: Article
• Language: Russian
• Published: Vreden Russian Research Institute of Traumatology and Orthopedics 2016-10-01
• Series: Travmatologiâ i Ortopediâ Rossii
• Subjects: rotator cuff rupture; infection after arthroscopic procedure; implant associated infection
• Online Access: https://journal.rniito.org/jour/article/view/176

Actual principles of implant associated infection treatment require determined approach already in early symptoms stage. The paper describes a clinical case of infectious complication treatment after bone-tendon repair of supraand infraspinous muscles with anchors. Following conservative treatment with no positive dynamics the authors performed two stage surgical treatment of implant associated shoulder infection. First stage included radical debridement, removal of implants and filling the defect in left humeral head with antibacterial spacer. Following infection eradication, the second stage included arthroscopy of the left shoulder, spacer removal, grafting of defect and revision left rotator cuff repair using anchors.The present clinical case demonstrates a lack of alertness in respect of possible postoperative infection, insufficient treatment experience of general orthopaedic surgeons and overall complexity of radical surgical procedure for treatment of such patients.