Patient-Matched Implementation for Reverse Total Shoulder Arthroplasty

JBJS Essential Surgical Techniques
Olivier VerborgtPhilippe Hardy

Abstract

Three-dimensional (3D) preoperative planning and patient-specific instrumentation (PSI) improve accuracy of glenoid component implantation in reverse shoulder arthroplasty. Use a 3D software tool for virtual preoperative planning of glenoid component implantation. Place the patient in a semi-beach-chair position and perform a standard deltopectoral approach. Prepare the humeral side for implantation of the humeral component using standard instrumentation. Expose the glenoid and prepare the glenoid surface for component implantation. Use the 4 PSI guides to prepare the glenoid for component implantation according to the preoperative plan. Implant the glenosphere and humeral component and reduce the prosthesis. Start passive and active-assisted exercises immediately, and begin muscle strengthening and active exercises at 6 weeks. A recent prospective, comparative study assessed the influence of 3D preoperative planning and PSI guidance of glenoid component positioning in total shoulder arthroplasty and reverse shoulder arthroplasty18.

References

Feb 24, 2005·Journal of Shoulder and Elbow Surgery·Melinda HarmanScott Banks
Aug 3, 2006·The Journal of Bone and Joint Surgery. American Volume·Jacques GueryGilles Walch
Mar 3, 2007·The Journal of Bone and Joint Surgery. American Volume·Ryan W SimovitchChristian Gerber
Mar 23, 2007·The Journal of Bone and Joint Surgery. American Volume·Frederick A MatsenRyan T Bicknell
Jun 11, 2008·Journal of Shoulder and Elbow Surgery·C Scott HumphreyTom R Norris
Jun 19, 2008·Journal of Shoulder and Elbow Surgery·Christophe LévigneGilles Walch
May 5, 2009·The Journal of the American Academy of Orthopaedic Surgeons·Christian GerberRichard W Nyffeler
Jun 2, 2009·Journal of Shoulder and Elbow Surgery·Mark A FrankleDerek Pupello
Mar 26, 2010·Journal of Shoulder and Elbow Surgery·Philippe FavreChristian Gerber
Dec 1, 2010·Clinical Orthopaedics and Related Research·Christophe LévigneGilles Walch
Dec 8, 2010·Journal of Shoulder and Elbow Surgery·Olivier VerborgtFrancis Van Glabbeek
May 24, 2011·Journal of Shoulder and Elbow Surgery·Joseph P IannottiJason A Bryan

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