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Updated: Nov 12, 2025

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Advanced Templating for Total Shoulder Arthroplasty.

Nicholas P Gannon1, Kelsey L Wise, Michael L Knudsen

  • 1Department of Orthopaedic Surgery, University of Minnesota, Minneapolis, Minnesota.

JBJS Reviews
|March 18, 2021
PubMed
Summary
This summary is machine-generated.

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Optimal glenoid component positioning is key for total shoulder arthroplasty (TSA) success. Advanced 3D imaging and templating improve glenoid assessment and implant placement, addressing challenges in shoulder replacement surgery.

Area of Science:

  • Orthopedic Surgery
  • Biomedical Engineering
  • Radiology

Background:

  • Total shoulder arthroplasty (TSA) clinical success relies heavily on precise glenoid component positioning.
  • Traditional preoperative templating used 2D radiographs and basic morphology understanding.
  • Limitations in historical methods impacted glenoid implant accuracy.

Purpose of the Study:

  • To evaluate the advancements in preoperative templating for total shoulder arthroplasty.
  • To highlight the benefits of 3D imaging in glenoid assessment and implant positioning.
  • To explore emerging technologies aimed at enhancing glenoid component implantation accuracy.

Main Methods:

  • Comparison of 2D versus 3D imaging techniques for glenoid assessment.
  • Utilizing advanced templating for understanding patient-specific morphology.

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  • Integration of synergistic software, implants, and instrumentation in surgical planning.

    • Main Results:

    • 3D imaging offers more accurate glenoid interrogation and positioning than 2D methods.
    • Advanced templating aids in recognizing operative challenges and predicting implant limitations.
    • Preoperative strategies can address abnormal glenoid morphology effectively.

    Conclusions:

    • 3D imaging and advanced templating significantly improve glenoid component positioning in TSA.
    • Emerging technologies show promise for enhancing glenoid implantation accuracy.
    • Further research is needed to confirm the long-term efficacy and cost-effectiveness of these advancements in TSA outcomes.