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Review
. 2024 Nov;17(11):456-464.
doi: 10.1007/s12178-024-09918-7. Epub 2024 Aug 2.

Preventing Infections in Reverse Shoulder Arthroplasty

Maarouf A Saad  1 , Michael A Moverman  2 , Adrik Z Da Silva  2 , Peter N Chalmers  3
Affiliations
Review

Preventing Infections in Reverse Shoulder Arthroplasty

Maarouf A Saad et al. Curr Rev Musculoskelet Med. 2024 Nov.

Abstract

Purpose of review: Reverse shoulder arthroplasty (rTSA) is a commonly performed procedure to treat degenerative conditions of the shoulder. With its growing utilization, techniques to reliably diagnose and treat prosthetic joint infection (PJI) have become increasingly important. In this review we outline the current research and prevention methods of prosthetic joint infection in rTSA. This includes preoperative considerations, intraoperative, and postoperative treatment algorithms.

Recent findings: There is currently no established standardized protocol for preoperative infection prevention or post operative management. However, recent studies have identified risk factors for infection, as well as successful prevention techniques that can be implemented to minimize infection risk. Although there is no standardized protocol currently utilized to diagnose and treat shoulder PJI, we outline a potential set of preventative measures and postoperative management strategies that clinicians can use to properly diagnose and treat patients with this difficult condition.

Keywords: Prevention; Prosthetic Joint Infection; Reverse Shoulder Arthroplasty; Revision Shoulder Arthroplasty; Shoulder.

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Conflict of interest statement

Dr. Chalmers reports personal fees from Depuy-Mitek, personal fees from Exactech, personal fees from DJ Orthopaedics, personal fees from Smith and Nephew, personal fees from Depuy, personal fees from Exactech, personal fees from Responsive Arthroscopy, personal fees from Journal of Shoulder and Elbow Surgery, personal fees from TitinKM Biomedical, outside the submitted work;.

Peter N. Chalmers: is a paid consultant for Depuy-Mitek, Exactech, DJ Orthopaedics, and Smith and Nephew; received intellectual property royalties from Depuy, Exactech, and Responsive Arthroscopy; receives publishing royalties from the Journal of Shoulder and Elbow Surgery, and has stock in TitinKM Biomedical.

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