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Related Experiment Video

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Reverse Total Shoulder Arthroplasty
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Computer-Assisted Surgery in Reverse Shoulder Arthroplasty: Early Experience.

Andrea Giorgini1, Luigi Tarallo1, Michele Novi1

  • 1Azienda Ospedaliero Universitaria Policlinico di Modena, via del Pozzo 71, Modena, Italy.

Indian Journal of Orthopaedics
|July 1, 2021
PubMed
Summary

Navigated reverse shoulder arthroplasty (RSA) reliably achieves planned glenoid component positioning. This technology offers a user-friendly approach for precise surgical outcomes in shoulder replacement.

Keywords:
ArthroplastyComputer-assisted RSAComputer-assisted surgery reverse shoulder arthroplastyNavigated reverse shoulderNavigationReverse shoulder arthroplastyShoulder replacement

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Area of Science:

  • Orthopedic Surgery
  • Biomedical Engineering
  • Surgical Navigation Technology

Background:

  • Advancements in shoulder arthroplasty have incorporated new technologies in the past decade.
  • Navigated robotic-assisted surgery (RSA) aims to improve precision in component placement.
  • Preliminary data on navigated RSA's effectiveness, benefits, and limitations are presented.

Purpose of the Study:

  • To evaluate the ability of navigated RSA to achieve planned glenoid version and inclination.
  • To assess the reliability and user-friendliness of intraoperative navigation systems in shoulder arthroplasty.
  • To identify the advantages, disadvantages, and limitations of navigated RSA.

Main Methods:

  • Eighteen computer-assisted reverse shoulder arthroplasties were performed.
  • Preoperative and intraoperative glenoid version and inclination were assessed using CT scans and navigation software.
  • Surgical parameters including component seating, screw length, and surgical time were recorded.

Main Results:

  • Planned glenoid component positioning (version and inclination) was achieved in all cases.
  • Mean surgical time was 92 ± 12 minutes.
  • No navigation system failures occurred; one coracoid fracture was noted in the initial case.

Conclusions:

  • Intraoperative navigation systems are reliable and user-friendly for achieving planned glenoid positioning in shoulder arthroplasty.
  • This technology facilitates correlation of clinical outcomes with component positioning data.
  • The absence of humeral implant navigation is a key limitation.