Shoulder Arthroplasty: Current Evidence and Techniques on Infection Prevention.

J Am Acad Orthop Surg · Apr 29 2025 · Review

Berger GK, Garrigues GE, Chalmers PN, Singh A

From the Department of Orthopaedic Surgery, University of California San Diego, San Diego, CA (Singh)

Shoulder & Elbow

SUMMARY — THE REDUCTIONThis review summarizes current evidence-based strategies—preoperative optimization, antibiotic prophylaxis, and draping techniques—for preventing prosthetic joint infection after shoulder arthroplasty.
Abstract, as published

The incidence and indications for shoulder arthroplasty are expanding. Although the procedure is generally successful, complications can occur. One of the most devastating is prosthetic joint infection of the shoulder. Efforts to prevent prosthetic joint infection of the shoulder vary from mechanical to pharmacologic. We review evidence-based prevention efforts ranging from preoperative optimization to pharmaceutical prophylaxis to draping techniques. Our paired review on diagnosis and treatment is also referenced.

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