ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2026
Perioperative shingles diagnosis does not influence prosthetic joint infection rates after shoulder arthroplasty.
Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeShoulder arthroplasty (SA) utilization has increased substantially, with a corresponding rise in revision procedures, many driven by periprosthetic joint infection (PJI). Herpes zoster (HZ), or shingles, is increasingly prevalent among older and immunocompromised patients and shares overlapping risk factors with PJI. However, the association between shingles and postoperative complications following SA is unknown. This study evaluated the relationship between peri-operative shingles and postoperative complications after SA.
methodsPatient-level claims from adults ≥ 18 years undergoing SA between 2016 and 2022 from a 20% Medicare fee-for-service sample and the IBM
resultsAmong 26,543 patients, 1.4% had shingles preoperatively and 1.0% developed shingles on or after surgery. The IR of the primary outcome was lower in patients with (IR 3.78; 95% CI 2.20-5.36) than without shingles (IR 5.06; 95% CI 4.77-5.35), but without statistical significance (IRR 0.75; 95% CI 0.49-1.14). No analytic approach showed a significant association, and no effect modification was observed.
conclusionsShingles diagnosed within one year before or after shoulder arthroplasty was not associated with increased risk of revision surgery, I&D, implant removal, or PJI within one year postoperatively.
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