Role of intraoperative navigation in the fixation of the glenoid component in reverse total shoulder arthroplasty: a clinical case-control study

Nashikkar, Piyush Suresh; Scholes, Corey; Haber, M.

doi:10.1016/j.jse.2019.03.013

Cited by 26 publications

(12 citation statements)

References 28 publications

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Section: Introductionmentioning

confidence: 99%

“…Excessive version or inclination of the glenoid component can lead to micromotion and stress concentration that results in bone resorption and loosening 4-6 . In addition, excessive reaming of the glenoid sacrifices supportive subchondral bone to correct glenoid alignment, which causes subsidence of the component 10 .Computer-assisted surgical technology, including three-dimensional (3D) planning software, patient-specific instrument (PSI) guides and a navigation system have been developed to improve the accuracy of glenoid component placement in shoulder arthroplasty [11][12][13][14][15] . Pre-operative planning software enables selection and positioning of a desired size of glenoid component to ensure baseplate backside support.…”

mentioning

confidence: 99%

“…Pre-operative planning software enables selection and positioning of a desired size of glenoid component to ensure baseplate backside support. PSI guides and navigation systems have become widely used for placement of the glenoid component as planned pre-operatively 11,13 . Furthermore, use of a navigation system enables real-time visualization of screw direction as well as baseplate alignment.The purpose of this study was to clarify the accuracy and precision to execute the surgical plan of the baseplate placement in RSA with the navigation system and pre-operative planning software compared to RSA with conventional instrumentation.…”

mentioning

confidence: 99%

“…Computer-assisted surgical technology, including three-dimensional (3D) planning software, patient-specific instrument (PSI) guides and a navigation system have been developed to improve the accuracy of glenoid component placement in shoulder arthroplasty [11][12][13][14][15] . Pre-operative planning software enables selection and positioning of a desired size of glenoid component to ensure baseplate backside support.…”

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confidence: 99%

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Implications of navigation system use for glenoid component placement in reverse shoulder arthroplasty

Kida

Urita

Momma

et al. 2022

Sci Rep

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Recently, three-dimensional (3D) planning, patient-specific instruments, and navigation system have been developed to improve the accuracy of baseplate placement in reverse shoulder arthroplasty (RSA). The purpose of this study was to evaluate baseplate placement using the navigation system. Sixty-four shoulders in 63 patients who underwent RSA for rotator cuff tear arthropathy or irreparable rotator cuff tears were enrolled. Conventional RSA was performed in 31 shoulders and navigated RSA using pre-operative planning software was performed in 33 shoulders. The use of augmented baseplates, the version and inclination of the baseplate, and screw length were compared between conventional RSA and navigated RSA. Augmented baseplates were used more frequently in navigated RSA than in conventional RSA (20 vs 9 shoulders, p = 0.014). Baseplate alignment was 1.0° (SD 5.1) of retroversion and 2.4° (SD 6.8) of superior inclination in conventional RSA and 0.2° (SD 1.9) of anteversion and 0.3° (SD 1.7) of superior inclination in navigated RSA. Compared with conventional RSA, precision of baseplate version and inclination were higher in navigated RSA (both p < 0.001). Superior, inferior, and posteroinferior screws were significantly longer in navigated RSA than in conventional RSA (p = 0.021, 0.001 and < 0.001, respectively). Precision of superior and inferior screw lengths was significantly higher in navigated RSA than in conventional RSA (both p = 0.001). Our results suggest that adoption of pre-operative planning software increased augmented baseplate use to minimize the glenoid reaming. The navigation system allows placement of the baseplate accurately, according to the pre-operative plan. Furthermore, the navigation system enables monitoring of screw length and direction in real time.

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Section: Introductionmentioning

confidence: 99%

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confidence: 99%

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confidence: 99%

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confidence: 99%

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Implications of navigation system use for glenoid component placement in reverse shoulder arthroplasty

Kida

Urita

Momma

et al. 2022

Sci Rep

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“…Different manufacturers have expanded the options for the shoulder arthroplasty surgeon including different humeral prosthesis neck/shaft angles, bearing diameter, bearing constraint (depth), modular stems convertible between anatomic and reverse TSA, modular tumor reconstruction prostheses, humeral stem length, humeral bearing onlay versus inlay, glenosphere offset, glenosphere laterality, and augmented baseplate components [8•, 9, 10, 11•, 12, 13, 14••]. In addition, preoperative planning software has advanced dramatically, allowing for the development of 3-D printed custom guides and custom implants, and even intraoperative computer guidance of implant placement [15][16][17][18].…”

Section: Introductionmentioning

confidence: 99%

Reverse Total Shoulder Arthroplasty: Technique, Decision-Making and Exposure Tips

Chawla

Gamradt

2020

Curr Rev Musculoskelet Med

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Purpose of ReviewThe goal of this review is to introduce surgical decision-making pearls for reverse shoulder arthroplasty and describe optimization of surgical exposure for reverse shoulder arthroplasty. Recent Findings While the technology of reverse shoulder replacement and the associated prosthetic options have expanded, the principles involved in successfully exposing the humerus and glenoid in arthroplasty remain the same. Summary Reverse shoulder replacement should be considered in arthroplasty situations with rotator cuff disease, deformity, bone loss, and instability as part of the diagnosis. Optimal exposure in reverse shoulder arthroplasty can be obtained by (1) releasing deltoid adhesions, (2) removal of humeral osteophytes, (3) generous humeral head cuts, (4) thorough humeral and glenoid capsular release and (5) optimal glenoid retractor placement. Neuromuscular paralysis can also aid glenoid exposure.

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Preoperative Planning and Plan Execution in Shoulder Arthroplasty

Parsons,

Papandrea,

Greene

2023

Shoulder Arthritis Across the Life Span

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Role of intraoperative navigation in the fixation of the glenoid component in reverse total shoulder arthroplasty: a clinical case-control study

Cited by 26 publications

References 28 publications

Implications of navigation system use for glenoid component placement in reverse shoulder arthroplasty

Implications of navigation system use for glenoid component placement in reverse shoulder arthroplasty

Reverse Total Shoulder Arthroplasty: Technique, Decision-Making and Exposure Tips

Preoperative Planning and Plan Execution in Shoulder Arthroplasty

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