Dr. Benjamin Zmistowski | Shoulder and Elbow Surgeon | Washington University Orthopedics

Dr. Zmistowski specializes in treating shoulder and elbow injuries and conditions, with a focus on rotator cuff repair, shoulder and elbow replacements, shoulder and elbow fractures and shoulder stabilization.

Common Diagnoses Treated

Elbow arthritis
Elbow instability
Fractures of the shoulder and elbow
Frozen shoulder
Labral injuries
Rotator cuff tears
Shoulder arthritis
Shoulder and elbow injuries in the athlete
Shoulder instability

Common Procedures

Arthroscopic labral repair
Arthroscopy of the elbow
Arthroscopic rotator cuff repair
Fracture fixation in shoulder and elbow
Reconstruction of tendon and ligament injuries in the shoulder and elbow
Reconstruction of the acromioclavicular and sternoclavicular joints
Total and reverse shoulder replacement
Total elbow replacement

Clinical Office Locations

Washington University and Barnes-Jewish Orthopedic Center

14532 S. Outer Forty Drive
Chesterfield, MO 63017
Progress West Hospital

Medical Office Building 1
20 Progress Point Parkway, Suite 114
O'Fallon, MO 63368

Hospital Affiliations

Barnes-Jewish Hospital
Barnes-Jewish West County Hospital

Academic Office Mailing Address

Washington University School of Medicine

Campus Box 8233

660 Euclid Avenue

Saint Louis, MO 63110

MyChart Patient Portal

Patient Education

Shoulder & Elbow patient education

Patient Resources

American Academy of Orthopaedic Surgeons

Patient Forms

Click here for patient forms

Dillon MT, Zmistowski BM, Williams GR Jr. Revision to a reverse shoulder arthroplasty using a custom glenoid sphere over a well-fixed metal glenoid tray: a case report. J Shoulder Elbow Surg. 2009 Nov-Dec;18(6):e26-9. Epub 2009 Jun 13. PubMed PMID: 19525132.
Austin L, Zmistowski B, Tucker B, Hetrick R, Curry P, Williams G Jr. Commercial liquid bags as a potential source of venous air embolism in shoulder arthroscopy. J Bone Joint Surg Am. 2010 Sep 1;92(11):2110-4. Epub 2010 Aug 4. PubMed PMID: 20686050.
Zmistowski B, Austin L, Ciccotti M, Ricchetti E, Williams G Jr. Fatal venous air embolism during shoulder arthroscopy: a case report. J Bone Joint Surg Am. 2010 Sep 1;92(11):2125-7. PubMed PMID: 20810863.
Parvizi J, Zmistowski B, Adeli B. Periprosthetic joint infection: treatment options. Orthopedics. 2010 Sep 7;33(9):659. PubMed PMID: 20839679.
Austin L, Zmistowski B, Chang ES, Williams GR Jr. Is Reverse Shoulder Arthroplasty a Reasonable Alternative for Revision Arthroplasty? Clin Orthop Relat Res. 2010 2011 Sep;469(9):2531-7. PubMed PMID: 21116757.
Sherrell JC, Fehring TK, Odum S, Hansen E, Zmistowski B, Dennos A, Kalore N; Periprosthetic Infection Consortium. The Chitranjan Ranawat Award: fate of twostage reimplantation after failed irrigation and débridement for periprosthetic knee infection. Clin Orthop Relat Res. 2011 Jan;469(1):18-25. PubMed PMID: 20582495; PubMed Central PMCID: PMC3008884.
Zmistowski B, Restrepo C, Kahl LK, Parvizi J, Sharkey PF. Incidence and reasons for nonrevision reoperation after total knee arthroplasty. Clin Orthop Relat Res. 2011 Jan;469(1):138-45. PubMed PMID: 20848243; PubMed Central PMCID: PMC3008870.
Deirmengian GK, Zmistowski B, Jacovides C, O'Neil J, Parvizi J. Leukocytosis Is Common After Total Hip and Knee Arthroplasty. Clin Orthop Relat Res. 2011 Nov;469(11):3031-6. PubMed PMID: 21461866.
Koyonos L, Zmistowski B, Della Valle CJ, Parvizi J. Infection Control Rate of Irrigation and Débridement for Periprosthetic Joint Infection. Clin Orthop Relat Res. 2011 Nov;469(11):3043-8. PubMed PMID: 21553171.
Odum SM, Fehring TK, Lombardi AV, Zmistowski BM, Brown NM, Luna JT, Fehring KA, Hansen EN; The Periprosthetic Infection Consortium. Irrigation and Debridement for Periprosthetic Infections Does the Organism Matter? J Arthroplasty. 2011 Sep;26(6 Suppl):114-8. PubMed PMID: 21621955.
Zmistowski B, Fedorka CJ, Sheehan E, Deirmengian G, Austin MS, Parvizi J. Prosthetic Joint Infection Caused by Gram-Negative Organisms. J Arthroplasty. 2011 Sep;26(6 Suppl):104-8. PubMed PMID: 21641762.
Parvizi J, Jacovides C, Zmistowski B, Jung KA. Definition of Periprosthetic Joint Infection: Is There a Consensus? Clin Orthop Relat Res. 2011 Nov;469(11): 3022-30. PubMed PMID: 21751038.
Mortazavi SMJ, Vegari D, Ho A, Zmistowski B, Parvizi J. Two-stage Exchange Arthroplasty for Infected Total Knee Arthroplasty: Predictors of Failure. Clin Orthop Relat Res. 2011 Nov;469(11):3049-54. PubMed PMID: 21866421.
Hansen P, Zmistowski B, Restrepo C, Parvizi J, Rothman RH. Does International Normalized Ratio Level Predict Pulmonary Embolism? Clin Orthop Relat Res. 2012 Feb;470(2):547-54. PubMed PMID: 21879412.
Deirmengian GK, Zmistowski B, O'Neil J, Hozack WH. Management of Acetabular Bone Loss in Revision Total Hip Arthroplasty. J Bone Joint Surg Am. 2011 Oct 5; 93(19): 1842-42. PubMed PMID: 22005871.
Austin LS, O’Brien MJ, Zmistowski B, Ricchetti ET, Kraeutler MJ, Joshi A, Fenlin JM. Additional X-Ray Views Increase Decision to Treat Clavicular Fractures Surgically. J Shoulder Elbow Surg. 2012 Oct;21(10):1263-8. PubMed PMID: 22098796.
Mortazavi SM, O’Neil JT, Zmistowski B, Parvizi J, Purtill JJ. Repeat 2-stage Exchange for Infected Total Hip Arthroplasty: a Viable Option? J Arthroplasty. 2012 Jun; 27(6):923-6. PubMed PMID: 22226613.
Jafari SM, Casper DS, Restrepo C, Zmistowski B, Parvizi J, Sharkey PF. Periprosthetic Joint Infection: are Patients with Multiple Prosthetic Joints at Risk? J Arthroplasty. 2012 Jun; 27(6): 877-80. PubMed PMID: 22386611.
Zmistowski B, Parvizi J. Identification and Treatment of Infected Total Hip Arthroplasty. Expert Rev Anti Infect Ther. 2012 Apr;10(4):509-18. PubMed PMID: 22512759.
Zmistowski B, Restrepo C, Huang R, Hozack WJ, Parvizi J. Periprosthetic Joint Infection Diagnosis: A Complete Understanding of White Blood Cell Count and Differential. J Arthroplasty. 2012 Oct;27(9):1589-93. PubMed PMID:22543180.
Ciccotti MC, Kraeutler MJ, Austin LS, Rangavajjula A, Zmistowski B, Cohen SB, Ciccott MG. The Prevalence of Articular Cartilage Changes in the Knee Joint in Patients Undergoing Arthroscopy for Meniscal Pathology. Arthroscopy. 2012 Oct;28(10):1437-44. PubMed PMID:22633479.
Harrison AK, Gruson KI, Zmistowski B, Keener J, Galatz L, Williams G, Parsons BO, Flatow EL. Intermediate Outcomes Following Percutaneous Fixation of Proximal Humeral Fractures. J Bone Joint Surg Am. 2012 Jul 3; 94(13):1223-8. PubMed PMID:22760391.
Parvizi J, Adeli B, Zmistowski B, Restrepo C, Greenwald AS. Management of Periprosthetic Joint Infection: The Current Knowledge: AAOS Exhibit Selection. J Bone Joint Surg Am. 2012 Jul 18; 94(14) e1041-9. PubMed PMID: 22810411.
Mortazavi SM, Hansen P, Zmistowski B, Kane PW, Restrepo C, Parvizi J. Hematoma Following Primary Total Hip Arthroplasty: A Grave Complication. J Arthroplasty. 2013 Mar;28(3):498-503. PubMed PMID: 23122656
Hansen EN, Zmistowski B, Parvizi J. Periprosthetic Joint Infection: What is on the horizon. Int J Artif Organs. 2012 Nov 20; 35(10): 935-50. PubMed PMID: 23371923.
Zmistowski B, Dizdarevic I, Jacovides C, Radcliff KE, Mraovic B, Parvizi J. Patients with Uncontrolled Components Metabolic Syndrome Have Increased Risk of Complications Following Total Joint Arthroplasty. J Arthroplasty. 2013 Jun;28(6):904-7. PMID: 23522489
Zmistowski B, Tetreault M, Alijanpour P, Chen A, Della Valle CJ, Parvizi J. Recurrent Periprosthetic Joint Infection: Persistent or New Infection? J Arthroplasty. 2013 Ap 12. PMID: 23587491
Hansen E, Tetrault M, Zmistowski B, Della Valle CJ, Parvizi J, Fares HS, Hozack WJ. One Stage Cementless Exchange Arthroplasty for Acute Periprosthetic Hip Infection. Clin Orthop Relat Res. 2013 Jun 18. PMID: 23775569
Zmistowski B, Restrepo C, Hess J, Adibi D, Cangoz S, Parvizi J. Unplanned Readmission after Total Joint Arthroplasty: Rate, Reason, and Risk Factors. J Bone Joint Surg Am. 2013 Oct 16;95(20):1869-76. PMID: 24132361
Zmistowski B, Karam JA, Durinka JB, Casper DS, Parvizi J. Periprosthetic Joint Infection Increases the Risk of One-Year Mortality. J Bone Joint Surg Am. 2013 Dec 18;95(24):2177-84. PMID: 24352771
Tokarski AT, Karam JA, Zmistowski B, Deirmengian CA, Deirmengian GK. Clostridium difficile is common in patients with postoperative diarrhea after hip and knee arthroplasty. J Arthroplasty. 2014 Jun;29(6):1110-3. Epub 2014 Jan 8. PMID: 24530206
Karam JA, Zmistowski B, Restrepo C, Hozack WJ, Parvizi J. Fewer postoperative fevers: an unexpected benefit of multimodal pain management? Clin Orthop Relat Res. 2014 May;472(5):1489-95. PMID: 24615425
Gutowski C, Zmistowski B, Clyde C, Parvizi J. The Economics of Prophylactic Antibiotic-Loaded Bone Cement in Total Knee Arthroplasty. Bone Joint J. 2014 Jan;96-B(1):65-9. PMID: 24395313
Williams G Jr, Kraeutler MJ, Zmistowski B, Fenlin JM Jr. No Difference in Postoperative Pain After Arthroscopic versus Open Rotator Cuff Repair. Clin Orthop Relat Res. 2014 Jun 10. [Epub ahead of print] PMID: 24912870.
Raphael I, McKenzi J, Zmistowski B, Brown D, Parvizi J, Austin M. Pulmonary embolism after total joint arthroplasty: cost and effectiveness of four treatment modalities. J Arthroplasty. 2014 May;29(5):933-7. PMID: 24269095
Tokarski AT, Karam JA, Zmistowski B, Deirmengian CA, Deirmengian GK. Clostridium Difficile is Common in Patients with Postoperative Diarrhea after Hip and Knee Arthroplasty. J Arthroplasty. 2014 Jun; 29(6):1110-3. PMID: 24530206.
Austin L, Chang ES, Zmistowski B, Nydick J, Lazarus M. Isolated Subscapularis Repair for Massive Rotator Cuff Tear. Orthopedics. 2014 Nov; 37(11):e962-7. PMID: 25361371.
Shahi A, Deirmengian C, Higuera C, Chen A, Restrepo C, Zmistowski B, Parvizi J. Premature Therapeutic Antimicrobial Treatments Can Compromise the Diagnosis of Late Periprosthetic Joint Infection. Clin Orthop Relat Res. 2015 Jul; 473(7):2244-9. PMID: 25604877
Gutowski, Zmistowski B, Lonner JH, Purtill JJ, Parvizi J. Direct Costs of Aspirin versus Warfarin for Venous Thromboembolism Prophylaxis after Total Knee orHip Arthroplasty. J Arthroplasty. 2015 Jun 3. PMID: 26073347
Padegimas EM, Clyde CT, Zmistowski B, Restrepo C, Williams GR, Namdari S. Risk factors for blood transfusion after shoulder arthroplasty. Bone Joint J. 2016 Feb;98-B(2):224-8. doi: 10.1302/0301-620X.98B2.36068. PubMed PMID: 26850428.
Padegimas EM, Zmistowski B, Clyde CT, Restrepo C, Abboud JA, Lazarus MD, Ramsey ML, Williams GR, Namdari S. Length of stay after shoulder arthroplasty-the effect of an orthopedic specialty hospital. J Shoulder Elbow Surg. 2016 Sep;25(9):1404-11.PubMed PMID: 27052271. PMID: 27052271
Padegimas EM, Verma K, Zmistowski B, Rothman RH, Purtill JJ, Howley M. Medicare Reimbursement for Total Joint Arthroplasty: The Driving Forces. J Bone Joint Surg Am. 2016 Jun 15;98(12):1007-13. PMID: 27307361.
Ketonis C, Kim N, Zmistowski B, Matzon J, Leinberry C, Wang M, Jones C, Abboudi J, Kirkpatrick W, Ilyas AM. Wide Awake Trigger Finger Release Surgery: Prospective Comparison of Lidocaine, Marcaine, and Exparel. Hand (NY). 2016 Jun;11(2):177-83.
Zmistowski B, Manrique J, Patel R, Chen AF. Recurrent Periprosthetic Joint Infection After Irrigation and Debridement With Component Retention is Most Often Due to Identical Organisms. J Arthroplasty. 2016 Sep;31(9 Suppl):148-51.
Padegimas EM, Zmistowski B, Restrepo C, Abboud JA, Lazarus MD, Ramsey ML, Williams GR, Namdari S. Instability after Reverse Total Shoulder Arthroplasty:Which Patients Dislocate? Am J Orthop (Belle Mead NJ). 2016 Nov/Dec;45(7):E444-E450. PMID: 28005111
Padegimas EM, Lawrence C, Narzikul A, Zmistowski B, Abboud JA, Williams GR, Namdari S. Future Surgery after Revision Shoulder Arthroplasty: the Impact of Unexpected Positive Cultures. J Shoulder Elbow Surg. 2017 Jun;26(6):975-981. PMID:28087166
Zmistowski B, Clyde CT, Ghanem ES, Gotoff JR, Deirmengian CA, Parvizi J. Utility of Synovial White Blood Cell Count and Differential Before Reimplantation Surgery. J Arthroplasty. 2017 Sep;32(9):2820-2824. PMID: 28479056.
Padegimas EM, Kreitz TM, Zmistowski B, Girden AJ, Hozack WJ, Chen AF. Comparison of Short-Term Outcomes After Total Hip Arthroplasty Between an Orthopedic Specialty Hospital and General Hospital. J Arthroplasty. 2017 Aug;32(8):2347-2352. PMID: 28449845
Padegimas EM, Zmistowski B, Lawrence C, Palmquist A, Nicholson TA, Namdari S. Defining optimal calcar screw positioning in proximal humerus fracture fixation. J Shoulder Elbow Surg. 2017 Jul 5. PMID: 28688933
Codding JL, Zmistowski B, Davis DE, Maltenfort MG, Pedowitz DI. Factors Contributing to Hospital Stay and Total Inpatient Charges in Total Ankle Arthroplasty: Review of the National Inpatient Sample. Foot Ankle Spec. 2017 Jul 1 [EPub ahead of print]. PMID: 28691501
Casper D, Zmistowski B, Hollern D, Schroeder GD, Hilibrand AS, Kurd MF, Rihn JA, Anderson DG, Vaccaro AR, Kepler CK. The effect of Postoperative Spinal Infections on Patient Mortality. Spine (Phila Pa 1976). 2017 Jun 9. PMID: 28604484
Padegimas EM, Hendy BA, Lawrence C, Devasagayaraj R, Zmistowski B, Abboud JA, Lazarus MD, Williams GR, Namdari S. An analysis of surgical and nonsurgical operating room times in high-volume shoulder arthroplasty. J Shoulder Elbow Surg. 2017 Jun;26(6):1058-1063. PMID: 28131689.
Higuera C, Zmistowski B, Malcom T, Barsoum W, Sporer S, Mommsen P, Kendoff D, Della Valle C, Parvizi J. Synovial Fluid Cell Count for Diagnosis of Chronic Periprosthetic Hip Infection. J Bone Joint Surg Am. 2017 May 3;99(9):753-759. PMID: 28463919.
Khanna K, Padegimas EM, Zmistowski B, Howley M, Verma K. Hospital Reimbursement for Thoracolumbar Fusion in Medicare Patients. Spine (Phila Pa 1976). 2017 Mar 23. PMID: 28338572
Padegimas EM, Hendy BA, Lawrence C, Devasagayaraj R, Zmistowski B, Abboud JA, Lazarus MD, Williams GR, Namdari S. An analysis of surgical and nonsurgical operating room times in high-volume shoulder arthroplasty. J Shoulder Elbow Surg. 2017 Jun;26(6):1058-1063. PMID: 28131689
Zmistowski B, Padegimas EM, Howley M, Abboud JA, Williams GR, Namdari S. Where Are Shoulder Surgeons Needed? Variability in Geographic Utilization of Total Shoulder Arthroplasty in Medicare Patients. Pending publication Journal of American Academy of Orthopedic Surgeons.

Research Interests

Dr. Zmistowski's research interests lie in the outcomes of surgical and non-surgical management of rotator cuff tears, shoulder replacement, and long-term outcomes of elbow replacement.

Background

Dr. Zmistowski earned his medical degree and completed an orthopaedic surgery residency from Thomas Jefferson University in Philadelphia, Pennsylvania. He went on to complete a fellowship in shoulder and elbow surgery at Washington University School of Medicine in St. Louis, Missouri.

Medical Degree

Thomas Jefferson University, Philadelphia, Pennsylvania

Residency

Orthopaedic Surgery, Thomas Jefferson University, Philadelphia, Pennsylvania

Fellowship

Shoulder and Elbow Surgery, Washington University School of Medicine, St. Louis, Missouri

Honors and Awards

Eastern Orthopedic Association: Travel Grant Award, June 2015
Hobart Amory Hare Honor Society, Fall 2012
American Academy of Orthopedic Surgeons: Scientific Exhibit Award of Excellence, February, 2012
Eastern Orthopedic Association: Travel Grant Award, December 2012
Levine Scholarship for Summer Research, Fall 2011
Eastern Orthopedic Association: Travel Grant Award, October 2010
The Knee Society: Chitranjan Ranawat Award

Professional Societies and Organizations

American Shoulder and Elbow Surgeons Association
Musculoskeletal Infection Society
American Academy of Orthopedic Surgeons

Washington University Orthopedics

Benjamin M. Zmistowski, MD