What is the role for periprosthetic frozen section and permanent histology in evaluation of a shoulder arthroplasty for periprosthetic joint infection (PJI)?

What is the role for periprosthetic frozen section and permanent histology in evaluation of a shoulder arthroplasty for periprosthetic joint infection (PJI)?

Authors: Benjamin Zmistowski, Joseph Zuckerman, Mandeep Virk
RECOMMENDATION: Frozen sections or histology, reviewed by an experienced pathologist, may be useful in revision shoulder arthroplasty to evaluate for periprosthetic joint infection. The detection of infection with less virulent organisms, which make up a signifi cant percentage of shoulder PJI, may be less reliable.
LEVEL OF EVIDENCE: Limited
DELEGATE VOTE: Agree: 95%, Disagree: 5%, Abstain: 0% (Unanimous, Strongest Consensus)

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