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Related Experiment Video

Updated: Jul 6, 2025

The Use of Mixed Reality in Custom-Made Revision Hip Arthroplasty: A First Case Report
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Custom-made Glenoid Baseplate and Intra-Operative Navigation in Complex Revision Reverse Shoulder Arthroplasty: A

Giacomo Peri1,2, Elisa Troiano1,2, Giovanni Battista Colasanti2

  • 1Department of Medicine Surgery and Neurosciences, University of Siena, Siena, Italy.

Journal of Shoulder and Elbow Arthroplasty
|January 8, 2024
PubMed
Summary

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Articles linked to this work by shared authors, journal, and citation graph.

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Same author

3D CT-Based Preoperative Planning and Intraoperative Navigation in Reverse Shoulder Arthroplasty: Early Clinical Outcomes.

Medicina (Kaunas, Lithuania)·2025
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Treatment and rehabilitation of subtalar dislocations: A case series and a review of the literature.

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Prevalence of atypical femoral fractures, a clinical update: A comparative retrospective study 7 years later.

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Arthroscopic Debridement Enhanced by Intra-Articular Antibiotic-Loaded Calcium Sulphate Beads for Septic Arthritis of a Native Knee Following Iatrogenic Joint Injection: A Case Report.

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Biological Patch in the Repair of Rotator Cuff Tears: Functional and Clinical Evaluation of Twenty-Three Cases with a Mean Follow-Up of Six Years.

Journal of clinical medicine·2024

This study presents a novel approach for managing reverse shoulder arthroplasty (RSA) instability using 3D-CT planning and computer-assisted navigation. This technique successfully treated a complex case with severe bone loss and infection, preventing further dislocations.

Area of Science:

  • Orthopedic Surgery
  • Biomedical Engineering
  • Radiology

Background:

  • Prosthetic instability is a significant complication in reverse shoulder arthroplasty (RSA).
  • Severe glenoid deformity and bone loss, along with subclinical periprosthetic joint infection (PJI), present complex challenges in RSA revision surgery.
  • 3D virtual planning using CT scans and intra-operative navigation offer advanced tools for improving arthroplasty accuracy.

Observation:

  • A case report details the treatment of an 84-year-old male with RSA prosthetic instability, severe glenoid deformity, bone loss, and subclinical PJI.
  • The patient underwent definitive surgery involving a customized metaglene component, designed from 3D-CT scans to address bone defects.
  • Implantation was guided by computer-assisted intra-operative navigation.

Findings:

Keywords:
3D-CT planningComplex revisioncustom-made implantintra-operative navigationperiprosthetic joint infectionreverse shoulder arthroplasty

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  • The patient experienced no further prosthetic dislocations or PJI during a one-year follow-up.
  • Clinical and radiological evaluations showed good patient satisfaction, a satisfactory range of motion, and acceptable functional scores (ASES 62, CMS 36).
  • This represents the first documented use of a customized glenoid baseplate implanted with intra-operative navigation.

Implications:

  • The combined use of 3D-CT planning and computer-assisted navigation is effective for managing complex RSA revision cases, even with extensive bone defects.
  • This approach enhances surgical accuracy and potentially improves outcomes in challenging shoulder arthroplasty revisions.
  • This case highlights a promising strategy for addressing prosthetic instability and bone loss in RSA, paving the way for future complex reconstructive procedures.