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May 27, 2023Seminars in Arthroplasty JSESOpen Access

Preoperative planning and its role in anatomic total shoulder arthroplasty

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Key result

Preoperative templating software based on 3D CT is more accurate and reliable than 2D CT in calculating glenoid version and inclination and predicting implant size for total shoulder arthroplasty.

Why the study?

Surgeons face complex reconstructive challenges in total shoulder arthroplasty, where proper implant positioning is paramount to achieve good results and avoid complications and early failure.

Does 3D CT-based preoperative planning and advanced intraoperative technology improve surgical accuracy and outcomes in total shoulder arthroplasty compared to traditional 2D imaging?

Design

Review

Authors

NMNabil MehtaJMJohnathon R. McCormickGGGrant E. Garrigues

Discussion

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Member takes

Overview

May aid glenoid assessment in TSA; leaves open whether accuracy gains improve outcomes.

Structured PICO

Does 3D CT-based preoperative planning and advanced intraoperative technology improve surgical accuracy and outcomes in total shoulder arthroplasty compared to traditional 2D imaging?

P
Population
Patients undergoing primary or revision anatomic total shoulder arthroplasty
I
Intervention
Preoperative planning software based on 3-dimensional computed tomography (3D CT), patient-specific instrumentation, robotic-assisted surgery, intraoperative navigation, and augmented reality technology
C
Comparator
Plain radiographs and 2-dimensional computed tomography (2D CT)
O
Outcome
Accuracy and reliability in calculating glenoid version and inclination, and predicting implant size

Advanced 3D CT preoperative planning and intraoperative technologies offer improved accuracy for implant positioning in total shoulder arthroplasty compared to traditional 2D imaging.

Cite This Study

Mehta et al. (2023) conducted a review in Total shoulder arthroplasty. Preoperative planning software based on 3D CT vs. 2D CT was evaluated. Preoperative templating software based on 3D CT is more accurate and reliable than 2D CT in calculating glenoid version and inclination and predicting implant size for total shoulder arthroplasty.

synapsesocial.com/papers/6a95cca0fefffbb12b39dc2dhttps://doi.org/10.1053/j.sart.2023.04.015
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The present and future of preoperative planning2024 · 10 citations
  2. 2Three-dimensional planning, navigation, patient-specific instrumentation and mixed reality in shoulder arthroplasty: a digital orthopedic renaissance2024 · 24 citations
  3. 3Pre-operative planning for reverse shoulder replacement: the surgical benefits and their clinical translation2019 · 39 citations
  4. 4Three-Dimensional CT Planning for Anatomic Shoulder Arthroplasty: Reliability of Version Correction With Short-Term Clinical Outcomes2026
  5. 5The Value of Computed Tomography-Based Planning in Shoulder Arthroplasty Compared to Intra-/Interobserver Reliability of X-ray Planning2024