Medium term results of reverse total shoulder replacement in patients with rotator cuff arthropathy

Prosthetic joint infection is a rare but serious complication of total shoulder replacement. After infection control, shoulder reconstruction is also required to repair the shoulder defect. The shoulder is a complex structure consisting of mechanical soft tissue and the joint, making reconstruction challenging. A 78-year-old female patient was diagnosed of wound necrosis and exposed prosthesis due to prosthetic joint infection after reverse total shoulder replacement. The infection was controlled with appropriate antibiotic treatment, and the necrotic tissue was removed by radical debridement. To reduce the size of the massive shoulder defect and minimize exposure of the prosthesis, negativepressure wound therapy (NPWT) was administered for 8 weeks and shoulder reconstruction was performed using a pedicled latissimus dorsi (LD) flap and split-thickness skin graft. The patient recovered without any complications, and no reinfection of the surgical site or other complications were observed during follow-up visits. This report demonstrates that antibiotic treatment, radical debridement of necrotic tissue, NPWT, and shoulder reconstruction using a pedicled LD flap can be an effective method of treatment for prosthetic joint infection with exposed prosthesis, tissue necrosis, and massive shoulder defect.

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Preoperative partial-thickness rotator cuff tears do not compromise anatomic total shoulder replacement outcomes: medium-term follow-up

Journal of Shoulder and Elbow Surgery ◽

10.1016/j.jse.2020.07.037 ◽

2020 ◽

Author(s):

Parag Raval ◽

Victoria N. Gibbs ◽

Radhakant Pandey

Keyword(s):

Rotator Cuff ◽

Rotator Cuff Tears ◽

Medium Term ◽

Shoulder Replacement ◽

Total Shoulder Replacement ◽

Partial Thickness

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Reverse Total Shoulder Replacement in Patients with Severe Glenoid Bone Loss

Operative Techniques in Orthopaedics ◽

10.1053/j.oto.2010.08.001 ◽

2011 ◽

Vol 21 (1) ◽

pp. 86-93 ◽

Cited By ~ 4

Author(s):

Alec A. Macaulay ◽

Raymond M. Greiwe ◽

William N. Levine

Keyword(s):

Bone Loss ◽

Glenoid Bone Loss ◽

Shoulder Replacement ◽

Total Shoulder Replacement ◽

Reverse Total Shoulder Replacement ◽

Reverse Total Shoulder

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Reverse Total Shoulder Replacement with Minimal ACJ Excision Arthroplasty for Management of Massive ACJ Cyst - A Case Report

The Open Orthopaedics Journal ◽

10.2174/1874325001408010298 ◽

2014 ◽

Vol 8 (1) ◽

pp. 298-301 ◽

Cited By ~ 4

Author(s):

Shahril R Shaarani ◽

Hannan Mullett

Keyword(s):

Case Report ◽

Acromioclavicular Joint ◽

Shoulder Replacement ◽

Total Shoulder Replacement ◽

Reverse Total Shoulder Replacement ◽

Excision Arthroplasty ◽

Reverse Total Shoulder

Massive acromioclavicular joint (ACJ) cysts are an extremely rare cause of shoulder impairment and with limited consensus in its management. We present the first published case report of a patient with a massive ACJ cyst treated with a reverse total shoulder replacement with minimal ACJ excision arthroplasty.

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