TECHNIQUESPROSTALAC Implantation for Two-Stage Eradication of Infected Shoulder ArthroplastyFriedman, Darren J. MD1; Parnes, Nata MD1; Dunn, John C. BA2; Higgins, Laurence D. MD2; Warner, Jon J. P. MD3Author Information 1Massachusetts General Hospital, and Brigham and Women's Hospital, Harvard Medical School, Boston, MA 2Brigham and Women's Hospital, Harvard Medical School, Boston, MA 3Massachusetts General Hospital, Harvard Medical School, Boston, MA Reprints: Laurence D. Higgins, MD, Brigham and Women's Hospital, 75 Francis Street, Department of Orthopaedic Surgery, Harvard Medical School, Boston, MA 02115 (e-mail: [email protected]). None of the authors have any conflicts of interest or have received financial support in the preparation of this article. Techniques in Shoulder and Elbow Surgery: September 2008 - Volume 9 - Issue 3 - p 114-125 doi: 10.1097/BTE.0b013e318182aa2d Buy Metrics Abstract Infection in the setting of shoulder arthroplasty is a devastating complication. Eradication of the infection is paramount to clinical success in most patients. This often involves removal of the primary arthroplasty and placement of an antibiotic-impregnated cement spacer for a period of time. Once infection has cleared, reimplantation may be attempted. We describe in detail our technique of prosthesis with antibiotic-loaded acrylic cement formation and implantation for the proximal humerus. Clinical results are summarized. © 2008 Lippincott Williams & Wilkins, Inc.