Management of Periprosthetic Reverse Shoulder Arthroplasty Infections
Since the time of the reported first shoulder arthroplasty, implanted in 1894 and explanted 2 years later by Jean Péan, periprosthetic shoulder infection (PSI) represents a known severe complication of this kind of surgery, with significant clinical and socioeconomic consequences. Published data report infection rates ranging from 1 to 15%, with higher rates after revision surgery than after a primary procedure and higher rates after reverse shoulder arthroplasty than after hemiarthroplasty or total shoulder arthroplasty. The hypothesized reasons for this are multifactorial, encompassing the large dead space caused by the reverse configuration of the joint and the fact the arthroplasty is not surrounded and covered by living tissue in the absence of musculotendinous rotator cuff tissue. However, such hypotheses are mostly based on data coming from or involving the older series of patients treated with RSA, and this could bias a realistic estimation of the problem, just considering TSA and RSA were used to manage relatively different pathologic conditions until recent times.
KeywordsPeriprosthetic reverse shoulder arthroplasty infections Shoulder infections Shoulder prosthesis complications Shoulder spacer Glenohumeral joint infections
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