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Advancing Precision in Shoulder Arthroplasty: Patient-Specific Instrumentation, Navigation, and Emerging

Hyun Seok Song1, Sang-Uk Lee2, Hyungsuk Kim1

  • 1Department of Orthopedic Surgery, Eunpyeong St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.

Clinics in Orthopedic Surgery
|October 20, 2025
PubMed
Summary

Patient-specific instrumentation and navigation systems enhance shoulder arthroplasty precision. Emerging technologies like AR, VR, and robotics offer new guidance and training, advancing patient care.

Keywords:
Augmented realityPatient-specific instrumentationRobotic-assisted surgeryShoulder replacement arthroplastySurgical navigation systems

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Area of Science:

  • Orthopedic Surgery
  • Medical Technology Innovation

Background:

  • Shoulder arthroplasty has evolved significantly, focusing on precision and patient outcomes.
  • Patient-specific instrumentation (PSI) and navigation systems are key innovations improving surgical accuracy.
  • These technologies aid in planning, reduce errors, and tailor procedures for complex anatomy.

Purpose of the Study:

  • To review current advancements in shoulder arthroplasty technology.
  • To highlight the impact of PSI, navigation, AR, VR, and robotics on surgical precision and training.
  • To discuss the potential and challenges of emerging technologies in shoulder arthroplasty.

Main Methods:

  • Literature review of advancements in shoulder arthroplasty.
  • Analysis of the role of patient-specific instrumentation and navigation systems.
  • Exploration of emerging technologies such as augmented reality, virtual reality, and robotic surgery.

Main Results:

  • PSI and navigation systems enhance surgical accuracy and procedural efficiency.
  • Emerging technologies offer improved preoperative visualization and intraoperative guidance.
  • These technologies show potential for better guidewire placement and real-time procedural assistance.
  • Immersive training platforms can transform orthopedic education.

Conclusions:

  • Technological advancements are crucial for improving shoulder arthroplasty precision and patient outcomes.
  • Emerging technologies like AR, VR, and robotics hold significant promise for the future of shoulder surgery.
  • Further research is needed to validate long-term efficacy and establish standardized protocols for widespread adoption.