原发性逆行肩关节置换术后感染的危险因素——一项系统综述和荟萃分析

Q2 Medicine

Journal of Clinical Orthopaedics and Trauma Pub Date : 2025-01-01 DOI:10.1016/j.jcot.2024.102833

Girinivasan Chellamuthu , S. Samundeeswari , Thamizhmathi Thangaraju , Saseendar Shanmugasundaram

{"title":"原发性逆行肩关节置换术后感染的危险因素——一项系统综述和荟萃分析","authors":"Girinivasan Chellamuthu , S. Samundeeswari , Thamizhmathi Thangaraju , Saseendar Shanmugasundaram","doi":"10.1016/j.jcot.2024.102833","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Periprosthetic joint infections (PJIs) following primary Reverse Shoulder Arthroplasty (RSA) are associated with significant economic burdens and complications. While numerous reviews have explored PJIs after RSA, a comprehensive analysis of risk factors specifically after primary RSA is lacking.</div></div><div><h3>Objective</h3><div>This systematic review aims to provide a comprehensive summary of the incidence and risk factors associated with PJIs after primary RSA.</div></div><div><h3>Methods</h3><div>Following Cochrane and PRISMA guidelines, a systematic search was conducted across multiple databases. Twenty-five articles meeting inclusion criteria were included for analysis.</div></div><div><h3>Results</h3><div>The incidence of PJIs after primary RSA was found to be 1.4%, with Staphylococcus species and Cutibacterium acne as common pathogens. Eleven modifiable and six non-modifiable risk factors were identified. Modifiable factors included pathological weight loss, obesity, metabolic syndrome, and steroid injections within one month before RSA. Non-modifiable factors included a history of previous shoulder surgery, inflammatory arthritis, male sex, and younger age.</div></div><div><h3>Conclusion</h3><div>Proactive management of modifiable risk factors and careful consideration of non-modifiable factors are essential in reducing PJIs after primary RSA. Strategies such as optimizing systemic health conditions and implementing meticulous surgical techniques may contribute to improved outcomes and reduced infection rates in RSA patients.</div></div>","PeriodicalId":53594,"journal":{"name":"Journal of Clinical Orthopaedics and Trauma","volume":"60 ","pages":"Article 102833"},"PeriodicalIF":0.0000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Risk factors for infection after primary reverse shoulder arthroplasty - A systematic review with meta-analysis\",\"authors\":\"Girinivasan Chellamuthu , S. Samundeeswari , Thamizhmathi Thangaraju , Saseendar Shanmugasundaram\",\"doi\":\"10.1016/j.jcot.2024.102833\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><div>Periprosthetic joint infections (PJIs) following primary Reverse Shoulder Arthroplasty (RSA) are associated with significant economic burdens and complications. While numerous reviews have explored PJIs after RSA, a comprehensive analysis of risk factors specifically after primary RSA is lacking.</div></div><div><h3>Objective</h3><div>This systematic review aims to provide a comprehensive summary of the incidence and risk factors associated with PJIs after primary RSA.</div></div><div><h3>Methods</h3><div>Following Cochrane and PRISMA guidelines, a systematic search was conducted across multiple databases. Twenty-five articles meeting inclusion criteria were included for analysis.</div></div><div><h3>Results</h3><div>The incidence of PJIs after primary RSA was found to be 1.4%, with Staphylococcus species and Cutibacterium acne as common pathogens. Eleven modifiable and six non-modifiable risk factors were identified. Modifiable factors included pathological weight loss, obesity, metabolic syndrome, and steroid injections within one month before RSA. Non-modifiable factors included a history of previous shoulder surgery, inflammatory arthritis, male sex, and younger age.</div></div><div><h3>Conclusion</h3><div>Proactive management of modifiable risk factors and careful consideration of non-modifiable factors are essential in reducing PJIs after primary RSA. Strategies such as optimizing systemic health conditions and implementing meticulous surgical techniques may contribute to improved outcomes and reduced infection rates in RSA patients.</div></div>\",\"PeriodicalId\":53594,\"journal\":{\"name\":\"Journal of Clinical Orthopaedics and Trauma\",\"volume\":\"60 \",\"pages\":\"Article 102833\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Clinical Orthopaedics and Trauma\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0976566224005022\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Clinical Orthopaedics and Trauma","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0976566224005022","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"Medicine","Score":null,"Total":0}

引用次数: 0

摘要

背景：原发性逆行肩关节置换术（RSA）后假体周围关节感染（PJIs）与显著的经济负担和并发症相关。虽然有许多综述探讨了原发性RSA后的pji，但缺乏对原发性RSA后风险因素的全面分析。目的本系统综述旨在全面总结原发性RSA术后PJIs的发生率及相关危险因素。方法遵循Cochrane和PRISMA指南，对多个数据库进行系统检索。符合纳入标准的25篇文章被纳入分析。结果原发性RSA术后PJIs的发生率为1.4%，常见致病菌为葡萄球菌和痤疮表皮杆菌。确定了11个可改变的危险因素和6个不可改变的危险因素。可改变的因素包括病理性体重减轻、肥胖、代谢综合征和RSA前一个月内的类固醇注射。不可改变的因素包括既往肩关节手术史、炎症性关节炎、男性和年轻。结论积极管理可改变的危险因素和仔细考虑不可改变的危险因素是降低原发性RSA术后PJIs的关键。优化全身健康状况和实施细致的手术技术等策略可能有助于改善RSA患者的预后和降低感染率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Risk factors for infection after primary reverse shoulder arthroplasty - A systematic review with meta-analysis

Background

Periprosthetic joint infections (PJIs) following primary Reverse Shoulder Arthroplasty (RSA) are associated with significant economic burdens and complications. While numerous reviews have explored PJIs after RSA, a comprehensive analysis of risk factors specifically after primary RSA is lacking.

Objective

This systematic review aims to provide a comprehensive summary of the incidence and risk factors associated with PJIs after primary RSA.

Methods

Following Cochrane and PRISMA guidelines, a systematic search was conducted across multiple databases. Twenty-five articles meeting inclusion criteria were included for analysis.

Results

The incidence of PJIs after primary RSA was found to be 1.4%, with Staphylococcus species and Cutibacterium acne as common pathogens. Eleven modifiable and six non-modifiable risk factors were identified. Modifiable factors included pathological weight loss, obesity, metabolic syndrome, and steroid injections within one month before RSA. Non-modifiable factors included a history of previous shoulder surgery, inflammatory arthritis, male sex, and younger age.

Conclusion

Proactive management of modifiable risk factors and careful consideration of non-modifiable factors are essential in reducing PJIs after primary RSA. Strategies such as optimizing systemic health conditions and implementing meticulous surgical techniques may contribute to improved outcomes and reduced infection rates in RSA patients.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Journal of Clinical Orthopaedics and Trauma Medicine-Orthopedics and Sports Medicine

CiteScore

4.30

自引率

0.00%

发文量

181

审稿时长

92 days

期刊介绍： Journal of Clinical Orthopaedics and Trauma (JCOT) aims to provide its readers with the latest clinical and basic research, and informed opinions that shape today''s orthopedic practice, thereby providing an opportunity to practice evidence-based medicine. With contributions from leading clinicians and researchers around the world, we aim to be the premier journal providing an international perspective advancing knowledge of the musculoskeletal system. JCOT publishes content of value to both general orthopedic practitioners and specialists on all aspects of musculoskeletal research, diagnoses, and treatment. We accept following types of articles: • Original articles focusing on current clinical issues. • Review articles with learning value for professionals as well as students. • Research articles providing the latest in basic biological or engineering research on musculoskeletal diseases. • Regular columns by experts discussing issues affecting the field of orthopedics. • "Symposia" devoted to a single topic offering the general reader an overview of a field, but providing the specialist current in-depth information. • Video of any orthopedic surgery which is innovative and adds to present concepts. • Articles emphasizing or demonstrating a new clinical sign in the art of patient examination is also considered for publication. Contributions from anywhere in the world are welcome and considered on their merits.