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Related Experiment Video

Updated: Feb 5, 2026

Reverse Total Shoulder Arthroplasty
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[Shoulder arthroplasty complications: case report].

G Luengo-Alonso1, V Jiménez-Díaz1, J Zorrilla-Sánchez De Neyra1

  • 1Hospital Universitario 12 de Octubre, Madrid, España.

Acta Ortopedica Mexicana
|September 6, 2018
PubMed
Summary
This summary is machine-generated.

This case study details managing a rare fungal infection and prosthetic dislocation after shoulder hemiarthroplasty. Successful treatment involved staged surgery and revision with a more stable reverse prosthesis.

Keywords:
Shoulderdislocationfracturefungal infectioninstabilityproximal humerusreverse arthroplasty

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Area of Science:

  • Orthopedic surgery
  • Infectious disease
  • Prosthetic joint infections

Background:

  • Prosthetic shoulder surgery complications include infection and instability, with instability in up to 50% and fungal infections in less than 1%.
  • Fungal infections, particularly Candida parapsilosis, can cause significant bone and soft tissue damage.
  • Managing simultaneous complications like infection and instability presents a significant surgical challenge.

Observation:

  • A patient with a shoulder hemiarthroplasty for proximal humerus fracture developed a clinical fungal infection (Candida parapsilosis).
  • Initial two-stage surgical treatment with fluconazole was followed by reverse prosthesis implantation.
  • Postoperative dislocation episodes necessitated a second revision surgery with more stable prosthetic components.

Findings:

  • Post-revision surgery, samples were negative for infection.
  • After three years of follow-up, the patient reported no limitations in daily activities and a Constant Score of 50.5.
  • This case represents a rare instance of concurrent fungal infection and prosthetic dislocation in shoulder arthroplasty.

Implications:

  • This case highlights the complexity of managing simultaneous prosthetic joint infections and instability in shoulder revision arthroplasty.
  • There is a lack of established evidence-based criteria for treating such complex, concurrent complications, especially with reverse or mega-prostheses.
  • Further research is needed to develop unified treatment guidelines for these challenging orthopedic scenarios.