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Nine shoulders had undergone previous surgical attempts to eradicate their infection. The diagnosis of infection was based on a combination of clinical suspicion (16 shoulders), positive frozen sections (&gt; 5 polymorphonuclear leukocytes per high-power field) at the time of revision (15 shoulders), positive intra-operative cultures (18 shoulders) or the pre-operative radiological appearances. The patients were treated by an extensive debridement, intravenous antibiotics, and conversion to a reverse shoulder prosthesis in either a single- (10 shoulders) or a two-stage (12 shoulders) procedure.<\/jats:p><jats:p>At a mean follow-up of 43 months (25 to 66) there was no evidence of recurrent infection. All outcome measures showed statistically significant improvements. Mean abduction improved from 36.1\u00b0 (sd 27.8) pre-operatively to 75.7\u00b0 (sd 36.0) (p &lt; 0.0001), the mean forward flexion from 43.1\u00b0 (sd 33.5) to 79.5\u00b0 (sd 43.2) (p = 0.0003), and mean external rotation from 10.2\u00b0 (sd 18.7) to 25.4\u00b0 (sd 23.5) (p = 0.0037). There was no statistically significant difference in any outcome between the single-stage and the two-stage group.<\/jats:p>","DOI":"10.1302\/0301-620x.90b3.19408","type":"journal-article","created":{"date-parts":[[2008,3,1]],"date-time":"2008-03-01T22:24:34Z","timestamp":1204410274000},"page":"336-342","source":"Crossref","is-referenced-by-count":143,"title":["The treatment of deep shoulder infection and glenohumeral instability with debridement, reverse shoulder arthroplasty and postoperative antibiotics"],"prefix":"10.1302","volume":"90-B","author":[{"given":"D. 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