Management of shoulder prosthetic joint infections with humeral bone loss using a customizable articulating long stem spacer (The Frankenspacer)

Long-stem custom spacer placement using a prefabricated humeral head combined with a humeral nail (The Frankenspacer) for shoulder PJI and PHBL results in acceptable reinfection rates for patients undergoing a 2-stage revision. Glenohumeral dislocation and glenoid erosion are common. Dislocation increases with severity of PHBL. This technique is a reasonable treatment option for managing this complex patient population.