PMC7256290_01
Preoperative x-ray showing the severe arthropathy.
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The patient had undergone a reverse total shoulder arthroplasty 1 year before, due to rotator cuff arthropathy (Fig. 1).
Postoperative radiographs of the RTSA.
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Until the onset of the symptoms, the artificial joint was well functioning, with a satisfactory range of motion, no pain or other signs of infection, with radiographs demonstrating well-positioned implant with heterotopic ossification and no major osteolysis (Fig. 2).
Radiograph of the shoulder in the final follow-up (30 months).
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Subsequently, two months after previous discharge, the patient was readmitted for removal of the implants with placement of antibacterial-containing cement spacer and administration of levofloxacin and trimethoprim-sulfamethoxazole i.v for 21 days (Fig. 3). Subsequently oral clindamycin and trimethoprim-sulfamethoxazole were administrated for another 3 weeks.