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Periprosthetic infection of the shoulder: Which patients are at highest risk?

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Periprosthetic infections (PJI) are the most common non-mechanical reason for shoulder arthroplasty failing. Shoulder PJI costs the patient as well as the health care system. See Periprosthetic shoulders infection in the United States: Incident and economic burden. Sometimes, successful treatment requires the removal of the arthroplasty component with one or more stage revisions. This is a complicated procedure with high complications and suboptimal results. (see Single-Stage Revision Is Effective for Failed Shoulder Arthroplasty with Positive Cultures for Propionibacterium and Oral and IV Antibiotic Administration After Single-Stage Revision Shoulder Arthroplasty: Study of Survivorship and Patient-Reported Outcomes in Patients without Clear Preoperative or Intraoperative Infection and One Versus 2-Stage Revision for Shoulder Arthroplasty Infections: A Systematic Review and Analysis of Treatment Selection Bias. It is essential to identify patients at high risk of shoulder PJI in order to take extraordinary prophylactic steps for them.

It is helpful to compare shoulder-PJI with PJI at the hip and knee. These are the organisms most often responsible for hip- and knee periprosthetic injuries.



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