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Computer navigation and patient-specific instrumentation in shoulder arthroplasty
Olivier Verborgt1, Matthias Vanhees, Steven Heylen
1*Department of Orthopedic Surgery, AZ Monica Hospital and University Hospital of Antwerp, Deurne, Belgium †Department of Orthopedic Surgery, Hôpital Ambroise Paré, Boulogne, Paris, France ‡Department of Surgery, Queen's University and Kingston General Hospital, Kingston, ON, Canada.
Accurate glenoid component placement is crucial for shoulder arthroplasty longevity. Three-dimensional planning and computer navigation may improve accuracy in shoulder replacement surgery, especially for complex cases.
Area of Science:
- Orthopedic Surgery
- Biomedical Engineering
- Medical Imaging
Background:
- Shoulder arthroplasty longevity relies on precise glenoid component correction and fixation.
- Scapular morphology variations and osteoarthritis-induced changes complicate glenoid reconstruction using standard 2D imaging and instrumentation.
Purpose of the Study:
- To evaluate the potential of 3D surgical planning and computer navigation in enhancing glenoid component implantation accuracy for shoulder arthroplasty.
- To explore how advanced technologies can overcome limitations in preoperative planning and surgical execution for glenoid reconstruction.
Main Methods:
- Review of recent studies investigating 3D surgical planning and computer navigation in shoulder arthroplasty.
- Analysis of the impact of these technologies on the accuracy of glenoid component positioning and fixation, particularly in reversed arthroplasty.
- Assessment of the ability of novel techniques to define preoperative deformity and optimize implant placement.
Main Results:
- Preoperative 3D surgical planning and computer navigation show promise in increasing accuracy and repeatability of glenoid component implantation.
- These technologies may enable better definition of preoperative deformities and selection of optimal implant positions.
- Improved accuracy in positioning and orientation of the glenosphere and screws in reversed arthroplasty has been reported.
Conclusions:
- 3D surgical planning and computer navigation offer potential advancements for glenoid reconstruction in shoulder arthroplasty.
- Further research is necessary to ascertain the long-term functional outcomes and cost-effectiveness of computer-assisted techniques in shoulder replacement.
- These technologies may lead to improved surgical precision and patient outcomes in complex shoulder arthroplasty cases.
