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The present and future of preoperative planning
1Department of Orthopaedic Surgery, UPMC Sports Surgery Clinic and University College Dublin, Ireland.
JSES International
|June 9, 2025
Summary
Preoperative planning for shoulder arthroplasty has advanced from 2D to 3D software. This evolution enables better execution tools for improved patient outcomes in shoulder replacement surgery.
Area of Science:
- Orthopedic Surgery
- Medical Imaging
- Surgical Planning
Background:
- Preoperative planning for shoulder arthroplasty is increasingly utilized for both primary and revision cases.
- The field has transitioned from manual 2D CT scan analysis to sophisticated 3D planning software.
Purpose of the Study:
- To review the evolution and current status of preoperative planning in shoulder arthroplasty.
- To discuss the benefits, execution tools, and future of planning technologies in shoulder surgery.
Main Methods:
- Review of current literature and technological advancements in preoperative planning for shoulder arthroplasty.
- Analysis of the progression from 2D to 3D planning modalities and associated execution tools.
Main Results:
- Preoperative planning has evolved significantly with the advent of 3D software, offering diverse methods for landmark identification and segmentation.
- Planning facilitates the development of execution tools that bridge the gap between preoperative plans and intraoperative application.
Conclusions:
- Preoperative planning is fundamental to advancements in enabling technologies for shoulder arthroplasty.
- Future developments in planning will focus on optimizing execution techniques to enhance patient outcomes.
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