Journal article
Arthroscopic debridement has similar 30-day complications compared with open arthrotomy for the treatment of native shoulder septic arthritis: a population-based study
Journal of shoulder and elbow surgery, Vol.29(6), pp.1121-1126
06/01/2020
DOI: 10.1016/j.jse.2019.11.007
PMID: 32057658
Abstract
Hypothesis: This study aimed to determine whether there are significant differences in 30-day perioperative complications between arthroscopic and open debridement (irrigation and debridement [I&D]) for septic arthritis (SA) of the shoulder using the American College of Surgeons National Surgical Quality Improvement Program database.
Methods: Patients undergoing arthroscopic or open I&D of the native shoulder from 2006-2016 were identified in the National Surgical Quality Improvement Program database. Those with a diagnosis of SA were included in the study. Patients with a concurrent diagnosis of osteomyelitis around shoulder (n = 25) or polyarthritis (n = 2) were excluded from the study. Patient demographics, comorbidities, and complications were compared between the groups. Poisson regression, which controlled for age and American Society of Anesthesiologists (ASA) score, was used to calculate the relative risks with 95% confidence intervals for minor adverse events, serious adverse events, total adverse events, and unplanned reoperations between the 2 treatment groups, with significance set at P < .0125 after Bonferroni correction.
Results: Overall, 147 and 57 patients underwent arthroscopic and open I&D, respectively, for SA of the shoulder. Patients in the open I&D group were more likely to be smokers (P = .0213), whereas patients in the arthroscopy group had higher ASA scores (P = .0008). After controlling for age and ASA score, we found no significant differences in the risk of minor adverse events (P = .0995), serious adverse events (P = .2241), total adverse events (P = .1871), or unplanned reoperations (P = .3855).
Conclusion: Arthroscopic debridement appears to be a safe alternative to open debridement for SA of the native shoulder. The incidence and risk of 30-day perioperative complications are similar after arthroscopic and open I&D for SA of the shoulder. (C) 2019 Journal of Shoulder and Elbow Surgery Board of Trustees. All rights reserved.
Details
- Title: Subtitle
- Arthroscopic debridement has similar 30-day complications compared with open arthrotomy for the treatment of native shoulder septic arthritis: a population-based study
- Creators
- Zain M. Khazi - University of Iowa Hospitals and ClinicsWilliam T. Cates - University of IowaAlan G. Shamrock - University of Iowa Hospitals and ClinicsQiang An - University of IowaKyle R. Duchman - University of Iowa Hospitals and ClinicsRobert W. Westermann - University of IowaBrian R. Wolf - University of Iowa Hospitals and Clinics
- Resource Type
- Journal article
- Publication Details
- Journal of shoulder and elbow surgery, Vol.29(6), pp.1121-1126
- Publisher
- Elsevier
- DOI
- 10.1016/j.jse.2019.11.007
- PMID
- 32057658
- ISSN
- 1058-2746
- eISSN
- 1532-6500
- Number of pages
- 6
- Language
- English
- Date published
- 06/01/2020
- Academic Unit
- Orthopedics and Rehabilitation; Physical Therapy and Rehabilitation Science; Athletic Training Program
- Record Identifier
- 9984294959302771
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