The Diagnosis and Treatment of Acetabular Bone Loss in Revision Hip Arthroplasty: An International Consensus Symposium.

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Abstract

Conflict of interest statement: Declaration of Conflicting Interests: The author(s) declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: Peter K. Sculco, MD, reports relationships with EOS Imaging, DePuy Synthes, Intellijoint Surgical, and Parvizi Surgical Innovation. Timothy Wright, PhD, reports relationships with Exactech and LimaCorporate. Mathias Bostrom, MD, reports relationships with Smith & Nephew and Ines Mandl Research Foundation. Farres Haddad, MD, reports relationships with Smith & Nephew, Corin, MatOrtho, Stryker, Bone & Joint Journal, and Annals of the Royal College of Surgeons. Seth Jerabek, MD, reports a relationship with Stryker. Michael Bolognesi, MD, reports relationships with Zimmer Biomet, Exactech, DePuy Synthes, Stryker, American Association of Hip and Knee Surgeons, Total Joint Orthopedics, Eastern Orthopaedic Association, Smith & Nephew, the Pulmonary Embolism Prevention after Hip and Knee Replacement trial funded by Patient-Centered Outcomes Research Institute. Thomas Fehring, MD, reports a relationship with DePuy Synthes. William Jiranek, MD, reports relationships with DePuy Synthes, Moximed, Hip Society, and BioMech Sensor LLC. William Walter, MD, reports relationships with DePuy Synthes, MatOrtho, and NavBit, and has several patents pending or issued. Wayne Papropsky, MD, reports relationships with Zimmer Biomet, Innomed, MicroPort Orthopedics, Intellijoint Surgical, and CeramTec. Thomas Sculco, MD, reports relationships with Exactech and LimaCorporate. Matthew Abdel, MD, reports relationships with Stryker and American Academy of Orthopedic Surgeons. Friedrich Boettner, MD, reports relationships with Smith & Nephew, Ortho Development, and DePuy Synthes. Francesco Benazzo, MD, reports relationships with Zimmer Biomet, LimaCorporate, Fidia, and JACE Medical. Charles Anderson Engh, MD, reports relationships with DePuy Synthes, Smith & Nephew, and Zimmer Biomet. William L. Griffin, MD, reports relationships with DePuy Synthes and Hyalex Corporation. Eric Hansen, MD, reports a relationship with Corin. William Hozack, MD, reports a relationship with Stryker. Stephen Jones, MD, reports relationships with Smith & Nephew, Adler, DePuy Synthes, Zimmer Biomet, Orthofix, and British Hip Society. Gwo-Chin Lee, MD, reports relationships with Stryker, Corin, Heron Therapeutics, Smith & Nephew, DePuy Synthes, KCI USA, Journal of Arthroplasty, Clinical Orthopaedics and Related Research, Journal of Bone & Joint Surgery, Bone & Joint Journal, and the Knee Society. Andrew Manktelow, MD, reports relationships with Zimmer Biomet, MatOrtho, Orthofix, British Hip Society, British Orthopaedic Association, International Hip Society, and European Hip Society. Alex C. McLaren, MD, reports relationships with Arizona Governor’s Grant, National Institutes of Health, Orthopaedic Trauma Association, MusculoSkeletal Infection Society, Sonoran Biosciences, and Hayes Diagnostics. Lawrence O’Hara, MD, reports relationships with Zimmer Biomet. Carsten Perka, MD, reports relationships with DePuy Synthes, Zimmer Biomet, Smith & Nephew, German Society for Orthopaedics and Orthopaedic Surgery, and General Secretary German Arthroplasty Society. Scott Sporer, MD, reports relationships with DJO Surgical, Osteoremedies, Hip Society, Knee Society, and Myoscience. Michael-Alexander Malahias, MD, Alexander Gu, MD, Alejandro Gonzalez Della Valle, MD, Donald Garbuz, MD, Martin Buttaro, MD, Daniel Choi, MD, Eduardo Garcia-Cimbrelo, MD, PhD, Eduardo Garcia-Rey, MD, Thorsten Gehrke, MD, Joe Lipman, MS, and Rob Nelissen, MD, PhD, declare they have no conflicts of interest. 19. J Bone Joint Surg Am. 2024 Dec 4;106(23):2265-2275. doi: 10.2106/JBJS.23.01073. Epub 2024 Oct 30. Shoulder Periprosthetic Joint Infection: Principles of Prevention, Diagnosis, and Treatment. Nazzal EM(1), Herman ZJ(1), Como M(1), Kaarre J(1), Reddy RP(1), Wagner ER(2), Klatt BA(1), Lin A(1). Author information: (1)Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania. (2)Department of Orthopaedic Surgery, Emory University, Atlanta, Georgia. ➢ Shoulder periprosthetic joint infection (PJI) is a potentially devastating complication after arthroplasty and is projected to rise with increasing numbers of performed arthroplasties, particularly reverse shoulder arthroplasties.➢ Important considerations for the diagnosis and treatment of shoulder PJI include age, sex, implant type, primary compared with revision shoulder surgery, comorbidities, and medications (i.e., corticosteroids and disease-modifying antirheumatic drugs). ➢ Diagnosis and management are unique compared with lower-extremity PJI due to the role of lower-virulence organisms in shoulder PJI, specifically Cutibacterium acnes.➢ Treatment pathways depend on chronicity of infection, culture data, and implant type, and exist on a spectrum from irrigation and debridement to multistage revision with temporary antibiotic spacer placement followed by definitive revision arthroplasty. Copyright © 2024 by The Journal of Bone and Joint Surgery, Incorporated. DOI: 10.2106/JBJS.23.01073