Abstract
Deep infection is a devastating complication following total shoulder arthroplasty. Accurate diagnosis and appropriate management are critical for a successful outcome. Diagnosis is based on history and physical examination, laboratory studies, and radiographic evaluation. Advanced techniques in radiology are useful supplements in equivocal cases. Treatment options include (1) antibiotic suppression alone, (2) aggressive wound debridement, (3) resection arthroplasty, (4) exchange arthroplasty, (5) two-stage reimplantation, and (6) arthrodesis. Two-stage reimplantation has historically been most successful in both eradicating infection and maintaining shoulder function. Other options may be appropriate in limited situations.
Published Version
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