Abstract
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.
Highlights
The paper describes a clinical case of infectious complication treatment after bone-tendon repair of supra- and infraspinous muscles with 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
[Clinical case of infection treatment after arthroscopic repair of rotator cuff]
Summary
Реферат По данным современной литературы, частота возникновения послеоперационных инфекционных осложнений при артроскопической хирургии плечевого сустава составляет лишь 0,16–1,9%. Существующие принципы лечения имплантат-ассоциированной инфекции диктуют необходимость решительных действий уже при ранних симптомах возникновения инфекционного осложнения. В статье приведено клиническое наблюдение лечения инфекционного осложнения после выполнения артроскопического якорного костно-сухожильного шва поврежденных сухожилий надостной и подостной мышц. После эрадикации инфекции вторым этапом выполнены артроскопия левого плечевого сустава, удаление спейсера, восполнение дефекта левой плечевой кости остеозамещающим материалом, ревизионный якорный шов вращательной манжеты левого плечевого сустава.
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