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Updated: Nov 12, 2025

Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
Advanced Templating for Total Shoulder Arthroplasty
Nicholas P Gannon1, Kelsey L Wise, Michael L Knudsen
1Department of Orthopaedic Surgery, University of Minnesota, Minneapolis, Minnesota.
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Longitudinal clinical and radiographic success of total shoulder arthroplasty (TSA) is critically dependent on optimal glenoid component position.
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Historically, preoperative templating utilized radiographs with commercially produced overlay implant templates and a basic understanding of glenoid morphology.
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The advent of 3-dimensional imaging and templating has achieved more accurate and precise pathologic glenoid interrogation and glenoid implant positioning than historical 2-dimensional imaging.
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Advanced templating allows for the understanding of unique patient morphology, the recognition and anticipation of potential operative challenges, and the prediction of implant limitations, and it provides a method for preoperatively addressing abnormal glenoid morphology.
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Synergistic software, implants, and instrumentation have emerged with the aim of improving the accuracy of glenoid component implantation. Additional studies are warranted to determine the ultimate efficacy and cost-effectiveness of these technologies, as well as the potential for improvements in TSA outcomes.

