Publication Name	World Journal of Orthopedics
Manuscript ID	47801
Country	Switzerland

Category	Orthopedics
Manuscript Type	Retrospective Study
Article Title	Advanced septic arthritis of the shoulder treated by a two-stage arthroplasty
Manuscript Source	Unsolicited Manuscript
All Author List	Patrick Goetti, Nicolas Gallusser, Alexander Antoniadis, Diane Wernly, Frédéric Vauclair and Olivier Borens
Funding Agency and Grant Number
Corresponding Author	Patrick Goetti, MD, Surgeon, Department of orthopedic surgery and traumatology, Lausanne University Hospital and University of Lausanne, Avenue Pierre-Decker 4, Lausanne 1010, Switzerland. patrick.goetti@gmail.com
Key Words	Septic arthritis; Shoulder; Arthroplasty; Spacer; Antibiotic; enriched
Core Tip	Shoulder septic arthritis associated with advanced osteoarthritic changes and/or rotator cuff tendon tears is challenging to treat. The classic approach of lavage and debridement is burdened by a higher failure rate with insufficient eradication of the infection and unsatisfactory functional outcomes. A two-stage approach with initial resection of the articular surfaces, implantation of an antibiotic enriched cement spacer before final treatment with a total shoulder arthroplasty is an appealing therapeutic option. Our retrospective case-series of five patients reveals that this approach is effective to eradicate infection and provides a satisfactory clinical outcome.
Citation	Goetti P, Gallusser N, Antoniadis A, Wernly D, Vauclair F, Borens O. Advanced septic arthritis of the shoulder treated by a two-stage arthroplasty. World J Orthop 2019; 10(10): 356-363

Received	2019-04-03 05:01
Peer-Review Started	2019-04-04 07:41
To Make the First Decision	2019-07-31 06:20
Return for Revision	2019-08-01 05:34
Revised	2019-09-03 12:44
Second Decision	2019-09-04 07:47
Accepted by Journal Editor-in-Chief	2019-09-06 01:17
Accepted by Company Editor-in-Chief	2019-09-16 00:24
Articles in Press	2019-09-16 00:24
Publication Fee Transferred
Edit the Manuscript by Language Editor
Typeset the Manuscript	2019-09-30 03:30

ISSN	2218-5836 (online)
Open Access	This is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
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