Abstract
Infection after shoulder arthroplasty, while representing less than 5% of all complications, can be devastating for the patient. The most common presenting complaint is pain independent of activity, and the diagnosis requires a high degree of suspicion by the treating surgeon. The most common bacteria isolated are Propionibacterium acnes (P. acnes) and coagulase negative Staphylococcus, which due to their indolent nature produce a blunted host response. In an otherwise healthy patient, there is data to support either one- or two-stage revision surgery including culture-specific antibiotics. In cases where salvage is required, resection arthroplasty can offer pain relief with limited functional goals.
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Eschbaugh, R.L., Iannotti, J.P., Ricchetti, E.T. (2019). Diagnosis and Management of the Infected Shoulder Arthroplasty. In: Tashjian, R. (eds) Complex and Revision Shoulder Arthroplasty . Springer, Cham. https://doi.org/10.1007/978-3-030-02756-8_12
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