Infection following mini-open rotator cuff repair: a single surgeon experience

被引:0
|
作者
Maxson, Ridge [1 ]
Meshram, Prashant [1 ]
Harris, Andrew B. [1 ]
Leland, Christopher R. [2 ]
Lu, Jim [1 ]
Niknahad, Ava [1 ]
Okeke, Laurence [1 ]
Mcfarland, Edward G. [1 ]
机构
[1] Johns Hopkins Univ, Div Shoulder & Elbow Surg, Dept Orthopaed Surg, 10753 Falls Rd, Baltimore 21093, MD USA
[2] Harvard Med Sch, Massachusetts Gen Hosp, Dept Orthoped Surg, Harvard Combined Orthoped Residency Program, Boston, MA USA
关键词
DEEP SHOULDER INFECTIONS; RISK-FACTORS; POSTOPERATIVE INFECTION; COMPLICATIONS; OUTCOMES; TRENDS; ARTHROPLASTY;
D O I
10.1016/j.jse.2024.08.021
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Background: Surgical technique has been shown to influence risk of surgical site infection following rotator cuff repair (RCR). Few studies have reported the rate of infection associated with mini-open RCR. The goal of this study was to report the postoperative infection rate and risk factors for infection among patients undergoing RCR performed by a single surgeon using a modified mini-open technique. Our hypothesis was that the rate of infection after mini-open RCR would be lower than previously reported for this surgical approach. Methods: We retrospectively reviewed an institutional shoulder surgery database to identify patients who underwent mini-open RCR performed by 1 surgeon at an academic tertiary care institution between 2003 and 2020. Patient records were reviewed to determine which individuals returned within 3 months postoperatively with a superficial or deep surgical site infection requiring operative management. Patient demographics, preoperative clinical characteristics, intraoperative variables, microbiological findings, infection management, and clinical course after infection were recorded. Backward elimination multivariate regression was used to assess for significant risk factors for infection. Results: Of the 925 patients identified, 823 (89%) had at least 3 months of follow-up and were included for further analysis. A majority of the patients undergoing RCR were men (57%). The mean age was 58.4 +/- 9.9 years, and the mean body mass index was 29.3 +/- 5.9 kg/m2. Fourteen cases (1.7%) of postoperative surgical site infection were identified in 13 patients. Ten infections (1.2%) were superficial and 4 (0.49%) were deep. The most commonly identified organisms were Staphylococcus aureus and Cutibacterium acnes. Male sex (odds ratio [OR] 4.3, 95% CI 1.2-15.3) and diabetes mellitus (OR 3.9, 95% CI 1.2-12.6) were found to be associated with greater odds of infection. The RCR construct was found to be intact in all 10 patients with superficial infections and 2 of the 4 patients with deep infections. All infections were successfully treated with 1 round of surgical debridement and wound irrigation, and with 6 or fewer weeks of intravenous antibiotic therapy. All patients with postoperative infections recovered with no sequelae at a median final follow-up of 63.5 months (range, 3-215 months). Conclusions: This single-surgeon series of a large patient cohort undergoing mini-open RCR over an 18-year period demonstrated a low overall infection rate of 1.7%. Only 4 infections were deep, which suggests that deep infection after mini-open RCR is uncommon and approximates infection rates seen with arthroscopic techniques.
引用
收藏
页码:e205 / e213
页数:9
相关论文
共 50 条
  • [1] Infection after mini-open rotator cuff repair
    Herrera, MF
    Bauer, G
    Reynolds, F
    Wilk, RM
    Bigliani, LU
    Levine, WN
    JOURNAL OF SHOULDER AND ELBOW SURGERY, 2002, 11 (06) : 605 - 608
  • [2] Mini-open rotator cuff repair
    Augustine, SJ
    McCluskey, GM
    SPORTS MEDICINE AND ARTHROSCOPY REVIEW, 2000, 8 (03): : 229 - 238
  • [3] Early mobilisation following mini-open rotator cuff repair
    Sheps, D. M.
    Bouliane, M.
    Styles-Tripp, F.
    Beaupre, L. A.
    Saraswat, M. K.
    Luciak-Corea, C.
    Silveira, A.
    Glasgow, R.
    Balyk, R.
    BONE & JOINT JOURNAL, 2015, 97B (09): : 1257 - 1263
  • [4] Systematic review of arthroscopic rotator cuff repair and mini-open rotator cuff repair
    Nho, Shane J.
    Shindle, Michael K.
    Sherman, Seth L.
    Freedman, Kevin B.
    Lyman, Stephan
    MacGillivray, John D.
    JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2007, 89A : 127 - 136
  • [5] Anterolateral approach for mini-open rotator cuff repair
    Chul-Hyun Cho
    Kwang-Soon Song
    Byung-Woo Min
    Gu-Hee Jung
    Young-Kuk Lee
    Hong-Kwan Sin
    International Orthopaedics, 2012, 36 : 95 - 100
  • [6] Repair of the rotator cuff - Mini-open and arthroscopic repairs
    Norberg, FB
    Field, LD
    Savoie, FH
    CLINICS IN SPORTS MEDICINE, 2000, 19 (01) : 77 - +
  • [7] Mini-open rotator cuff repair - An updated perspective
    Yamaguchi, K
    JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2001, 83A (05): : 764 - 772
  • [8] Anterolateral approach for mini-open rotator cuff repair
    Cho, Chul-Hyun
    Song, Kwang-Soon
    Min, Byung-Woo
    Jung, Gu-Hee
    Lee, Young-Kuk
    Sin, Hong-Kwan
    INTERNATIONAL ORTHOPAEDICS, 2012, 36 (01) : 95 - 100
  • [9] Arthroscopically assisted (mini-open) rotator cuff repair
    Fealy, S
    Kingham, TP
    Altchek, DW
    SPORTS MEDICINE AND ARTHROSCOPY REVIEW, 1999, 7 (02): : 76 - 84
  • [10] Mini-open rotator cuff repair via an anterosuperior approach
    Duralde, Xavier A.
    Greene, R. Timothy
    JOURNAL OF SHOULDER AND ELBOW SURGERY, 2008, 17 (05) : 715 - 721