INFECTED TOTAL ELBOW ARTHROPLASTY: MANAGEMENT AND RESULTS. ABOUT 11 CASES

Aim Infections after total elbow arthroplasty are more frequent than after other joint arthroplasties. Therapeutic management varies depending of the patient status, the time of diagnosis of the infection, the status of the implant as well as the remaining bone stock around the implants. Method Between 1997 and 2017, 180 total elbow arthroplasties were performed in our department. Eleven (6%) sustained a deep infection and were revised. Infection occurred after prosthesis of first intention in 4 and after a revision procedure in 7. Etiologies were: rheumatoid arthritis in 6, trauma sequela in 4 and osteosarcoma in 1. There were 7 women and 4 men of 59 years on average (22–87). Delay between the prosthesis and the diagnosis of infection was 66 months (0.5–300). The infection was stated as acute ( 3 months) in 9. Isolated bacteria were: Staphylococcus (10), Streptococcus (1), P. acnes (1), and Proteus mirabilis (1). Infection were pol...