Should modular components be exchanged during irrigation and debridement (I&D) of subacute or chronic shoulder periprosthetic joint infection (PJI)?

Authors: Richard Page, Scott E. Paxton, Ben Clark, Surena Namdari
RECOMMENDATION: We defer to the response for the Question 5: “Should well-fixed glenoid components be removed during surgical treatment for subacute or chronic shoulder PJI?” It would seem that the recommendation, although of limited strength, would be for well-fixed components to be removed during surgical intervention for subacute/chronic shoulder PJI. Therefore, it can be extrapolated that modular components, which can be exchanged to remove biofilm with far less morbidity than well-fi xed components, should likewise be either exchanged or removed and replaced with an antibiotic spacer.
LEVEL OF EVIDENCE: No Evidence
DELEGATE VOTE: Agree: 95%, Disagree: 5%, Abstain: 0% (Unanimous, Strongest Consensus)