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2025 ISAKOS Biennial Congress ePoster

Satisfactory Clinical And Radiological Outcomes For Native Shoulder Septic Arthritis Treated With Radical Debridement In Middle-Aged Patients

Wei-Lin Chang, MD TAIWAN
Kun-Hui Chen, MD, Taipei TAIWAN
En-Rung Chiang, MD, PhD, Taipei, Taiwan TAIWAN
Taipei veteran general hospital, Taipei, Beitou Dist., TAIWAN

FDA Status Not Applicable

Summary

For middle-age patients with NSSA, the recovery of the shoulder function could be improved after radical debridement and sufficient administration of antibiotics in the long-term follow-up.

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Abstract

Introduction

The incidence of Native Shoulder Septic Arthritis (NSSA) is fairly low even in an immune-compromised individual. The management of the disease is challenging, and the mortality rate for septic arthritis is approximately 30% in elder patients with comorbidities.

Method

We retrospectively reviewed records of patients < 70 years old with NSSA who underwent surgical intervention in a single medical center between January 2009 through January 2021. Patients received open or arthroscopic-assisted debridement surgeries during the admission. We assessed the incidence of postoperative complications, organisms of culture results, length of stay, in-hospital mortality rate, 30-day readmission rate, and a mid-term follow up (at least 3 years) including both image and shoulder function score.

Results

20 patients were included in this study, the mean age was 57.8 years old. Of these patients, 70% (n=14) and 30% (n=6) underwent arthroscopic and open debridement, and cultures from 55% (n=11) of the specimen showed no bacterial growth. The average American Shoulder and Elbow Surgeons (ASES) pain score was 35.9 (SD, 6.6; range, 17-45); average ASES function score, 36.4 (SD, 5.9; range, 21-48); average ASES total score, 72.4 (SD, 12.3; range, 39-93). One patient received shoulder hemiarthroplasty and no mortality was recorded during the follow up.

Discussion

In our study, most patients were effectively treated under single or repeat arthroscopic debridement and intravenous antibiotic administration. NSSA Patients with medical history of diabetes mellitus (DM) were at higher risk of repeat irrigation during admission.

Conclusions

For middle-age patients with NSSA, the recovery of the shoulder function could be improved after radical debridement and sufficient administration of antibiotics in the long-term follow-up.

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