ArticleBone & joint research2026
Evaluating the impact of povidone-iodine irrigation on microbial contamination in reverse total shoulder arthroplasty.
Article in Bone & joint research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
3 citing papers in PubMed.
- Complementary Time-Kill Activity Displayed by Povidone-Iodine and Hydrogen Peroxide Against Shoulder Arthroplasty-Associated Pathogens, Envisaging Intraoperative Irrigation.Pharmaceuticals (Basel, Switzerland) · 2026Article
- How Contaminated Is the Surgical Field in Reverse Total Shoulder Arthroplasty? A Preliminary Quantitative Intraoperative Microbiological Study.Journal of clinical medicine · 2026Article
- Pathogen Profiling in Reverse Total Shoulder Arthroplasty: Virulence Traits of Clinical Isolates Before and After Intraoperative Povidone-Iodine Irrigation.Antibiotics (Basel, Switzerland) · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors.
Funding
Abstract
Aims: One of the primary causes of periprosthetic joint infection (PJI) in reverse total shoulder arthroplasty (RTSA) is intraoperative contamination. This study aimed to evaluate the effectiveness of povidone-iodine irrigation in reducing bacterial contamination of the surgical field during primary RTSA. Methods: A total of 65 patients were prospectively included (mean age 74.1 years (SD 7.9); 43 female, 22 male). Patients with fractures, osteonecrosis, tumours, or previous surgical treatment failures, as well as those who had received recent antibiotic or infiltrative therapy, were excluded. At the end of the surgery, six different samples were collected. The first set of three samples - one swab from the glenosphere, one from the humeral component, and one from the periprosthetic tissue - were obtained before irrigation (using a 0.35% povidone-iodine solution diluted with saline). The second set of three samples was taken from the same sites, but after irrigation. The six samples were processed to perform both qualitative and quantitative assessments of the microbial load. Results: Conclusion: Intraoperative irrigation with povidone-iodine is significantly effective in reducing bacterial contamination rates during RTSA surgery, despite
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Registered trials
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