Treatment of elbow periprosthetic joint infection: A systematic review of clinical outcomes
Journal of Shoulder and Elbow Surgery | Jan 23, 2020
Gutman MJ, et al. - This systematic review incorporates the English-language literature on elbow periprosthetic joint infection (PJI) to quantify treatment outcomes. Researchers searched the PubMed and Scopus databases in December 2018. They identified a sum of 1,056 titles; after application of the exclusion criteria, 41 studies met the screening criteria and underwent full-text review. They enrolled 15 articles for the final analysis regarding demographic characteristics, risk factors, infecting organisms, the success of eradication of infection based on the surgical method, and functional outcomes of specific treatment regimens. In this study, 309 TEA infections were found. Staphylococcus aureus was found to be the most frequently isolated organism (42.4%), followed by coagulase-negative staphylococci (32.6%). Staphylococcus species represent the most common infecting organism in this systematic review of TEA infections. For elbow PJI, two-stage revision was the most effective treatment, presenting the lowest recurrence rate for infection.
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