リバース型人工肩関節感染にセメントスペーサーを長期留置した1例

DOI
  • Tsunoda Tomoaki
    Department of Orthopaedic Surgery, Showa University Fujigaoka Hospital
  • Tajika Yutaro
    Department of Orthopaedic Surgery, Showa University Fujigaoka Hospital Showa University Research Institute for Sport and Exercise Sciences
  • Isozaki Yuichi
    Department of Orthopaedic Surgery, Showa University Fujigaoka Hospital Showa University Research Institute for Sport and Exercise Sciences
  • Furuya Kanji
    Department of Orthopaedic Surgery, Showa University Fujigaoka Hospital Showa University Research Institute for Sport and Exercise Sciences
  • Matsuhisa Takayuki
    Department of Orthopaedic Surgery, Japan Community Health care Organization Sagamino Hospital
  • Tsukihashi Isso
    Department of Orthopaedic Surgery, Showa University Fujigaoka Hospital Showa University Research Institute for Sport and Exercise Sciences
  • Okada Hiroki
    Department of Orthopaedic Surgery, Showa University Fujigaoka Hospital
  • Tamura Masaki
    Showa University Research Institute for Sport and Exercise Sciences Rehabilitation center, Showa university Hospital
  • Ozaki Hisayo
    Showa University Research Institute for Sport and Exercise Sciences Rehabilitation center, Showa university Hospital Showa University School of Nursing and rehabilitation Sciences
  • Nishinaka Naoya
    Department of Orthopaedic Surgery, Showa University Fujigaoka Hospital Showa University Research Institute for Sport and Exercise Sciences Showa University Graduate School of Health Sciences

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Description

症例は79歳女性．前医で右上腕骨近位端骨折に対してリバース型人工肩関節置換術を施行された．術後12週頃に術後感染を発症し当院受診．上腕骨ステムを抜去し，デブリードマン後，抗生剤入りセメントスペーサーを挿入し，二期的再置換術の方針とした．関節窩コンポーネントは温存した．感染が沈静化し，再置換術を考慮するも，本人の希望により再置換術は行わず5年間経過した．現在のところ機能的にも良好で再感染や破損などはみられていない．

Journal

  • Katakansetsu

    Katakansetsu 46 (1), 258-261, 2022

    Japan Shoulder Society

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