Infectious and thromboembolic complications of arthroscopic shoulder surgery

J Shoulder Elbow Surg. 2010 Jan;19(1):97-101. doi: 10.1016/j.jse.2009.04.009.

Abstract

Hypothesis: This study investigates the rate of infectious and thromboembolic complications in shoulder arthroscopy and their association with pharmacologic prophylaxis.

Materials and methods: On behalf of the Italian Society for Knee Surgery, Arthroscopy, Sport Traumatology, Cartilage and Orthopaedic Technologies (SIGASCOT), we asked the members to complete an on-line Web survey about their experiences and strategies of prophylaxis in shoulder arthroscopy.

Results: In the period 2005-2006, 9385 surgeries were performed. We report 15 infections and 6 DVTs. The overall rate of infections was 0.0016 (1.6/1000) and the rate of DVTs was 0.0006 (0.6/1000)

Conclusion: The association between infection and antibiotic prophylaxis was significant (P=0.01); however, the risk of DVTs was not decreased with heparin prophylaxis.

Level of evidence: Level 3.

MeSH terms

  • Antibiotic Prophylaxis
  • Arthroscopy / adverse effects*
  • Arthroscopy / methods
  • Confidence Intervals
  • Female
  • Follow-Up Studies
  • Health Care Surveys
  • Humans
  • Incidence
  • Italy
  • Male
  • Postoperative Complications / epidemiology
  • Postoperative Complications / prevention & control
  • Probability
  • Risk Assessment
  • Severity of Illness Index
  • Shoulder Joint / physiopathology
  • Shoulder Joint / surgery*
  • Surgical Wound Infection / epidemiology*
  • Surgical Wound Infection / etiology
  • Surgical Wound Infection / prevention & control
  • Surveys and Questionnaires
  • Venous Thromboembolism / epidemiology*
  • Venous Thromboembolism / etiology
  • Venous Thromboembolism / prevention & control