Advanced technology in shoulder arthroplasty

Author:

Zhong Jack1ORCID,Boin Michael1,Zuckerman Joseph D.1

Affiliation:

1. Department of Orthopaedic Surgery, Division of Shoulder & Elbow Surgery, NYU Langone Health, New York, NY, USA

Abstract

Background Glenoid component positioning is an important and challenging aspect of total shoulder arthroplasty. The use of freehand technique with standard instrumentation or preoperative planning based on 2-dimensional computed tomography (CT) scans provides an opportunity for improvement in terms of component accuracy, precision, and deformity correction. These techniques have produced varying outcomes. Methods Preoperative planning software (PPS), patient specific instrumentation (PSI), and intraoperative navigation (NAV) have been developed to improve the accuracy of implant placement and deformity correction with the ultimate goals of improved patient outcomes and implant longevity. Literature search was conducted on published and available studies comparing the accuracy of glenoid component placement and improvements in surgical and patient outcomes amongst the aforementioned techniques. Results PPS, PSI, and NAV have demonstrated improved accuracy over freehand techniques with standard instrumentation. However, data demonstrating the clinical benefit and cost effectiveness of these new technologies are lacking. Discussion In this paper, we reviewed the evidence available to answer the question of whether or not advanced shoulder arthroplasty technologies have been beneficial and reviewed future technologies in development such as virtual/mixed-reality and robotic assisted shoulder surgery. Level of Evidence 4.

Publisher

SAGE Publications

Subject

Rehabilitation,Physical Therapy, Sports Therapy and Rehabilitation,Orthopedics and Sports Medicine,Surgery

Reference64 articles.

1. Hoppenfeld S. Surgical Exposures in Orthopaedics: The Anatomic Approach. 5th ed. (Murphy D, eds). Philadelphia: Wolters Kluwer Health, 2017, 42–79.

2. The glenoid in shoulder arthroplasty

3. Morphologic study of the Glenoid in primary glenohumeral osteoarthritis

4. Glenoid Component Failure in Total Shoulder Arthroplasty

5. Failed Reverse Shoulder Arthroplasty and Recommendations for Revision

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