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CLINICAL CASE OF INFECTION TREATMENT AFTER ARTHROSCOPIC REPAIR OF ROTATOR CUFF
- Authors: Dokolin S.Y.1, Artyukh V.A.1, Kuzmina V.I.1, Liventsov V.N.1
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Affiliations:
- Vreden Russian Research Institute of Traumatology and Orthopedics, St. Petersburg
- Issue: Vol 22, No 3 (2016)
- Pages: 110-116
- Section: Case Reports
- Submitted: 15.10.2016
- Accepted: 15.10.2016
- Published: 15.10.2016
- URL: https://journal.rniito.org/jour/article/view/176
- DOI: https://doi.org/10.21823/2311-2905-2016-22-3-110-116
- ID: 176
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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.
About the authors
S. Y. Dokolin
Vreden Russian Research Institute of Traumatology and Orthopedics, St. Petersburg
Author for correspondence.
Email: sdokolin@gmail.com
Dokolin Sergey Yu. - senior researcher.
Ul. Akad. Baykova, 8, St. Petersburg, Russia, 195427; e-mail: sdokolin@gmail.com
РоссияV. A. Artyukh
Vreden Russian Research Institute of Traumatology and Orthopedics, St. Petersburg
Email: fake@neicon.ru
Artyukh Vasily A. - head of department N 4
РоссияV. I. Kuzmina
Vreden Russian Research Institute of Traumatology and Orthopedics, St. Petersburg
Email: fake@neicon.ru
Kuzmuna Vladislava I. - assistant researcher
РоссияV. N. Liventsov
Vreden Russian Research Institute of Traumatology and Orthopedics, St. Petersburg
Email: fake@neicon.ru
Liventsov Vitalii N. - orthopedic surgeon at of department N 4
РоссияReferences
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