3D preoperative planning for humeral head selection in total shoulder arthroplasty

Lima, Diego J.L.; Markel, Jacob F.; Yawman, Jon; Whaley, James; Sabesan, Vani J.

doi:10.1007/s12306-019-00602-5

Cited by 15 publications

(14 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“… 6 , 9 , 26 The accuracy of 3D preoperative planning has correctly predicted the size of SA components and glenoid measurements used intraoperatively. 16 , 17 , 19 , 20 , 21 , 23 , 29 Thus, it is possible to minimize the number of instruments and trays used in a shoulder arthroplasty procedure based on the use of preoperative planning.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

The use of preoperative planning to decrease costs and increase efficiency in the OR

Sheth¹,

Lavin²,

Martinez³

et al. 2022

JSES International

Self Cite

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

“… 3 Interest on lowering costs now has now focused on limiting implant selection, optimizing implant pricing, and decreasing the use of hospital resources and operating room (OR) time. 16 …”

mentioning

confidence: 99%

The use of preoperative planning to decrease costs and increase efficiency in the OR

Sheth¹,

Lavin²,

Martinez³

et al. 2022

JSES International

Self Cite

View full text Add to dashboard Cite

“…Though previous studies have assessed the ability of 3-D templating software in positioning of components, little data exists regarding the ability of pre-operative templating to identify the component sizes needed for surgery with a high level of accuracy. 11 , 15 , 18 , 19 …”

Section: Discussionmentioning

confidence: 99%

“…This technology has been utilized for humeral head size selection with success by Lima et al in measurements of both humeral head diameter and height. 19 Utilization of 3-D pre-operative planning enables the surgeon to visualize or simulate the surgery prior to the actual case. Ultimately, this could help reduce the need for trialing of several different implant sizes before final selection which in theory could help reduce operative time, increase overall efficiency, potentially reduce complications such as fracture, 20 and identify poor cuts if size discrepancy is present.…”

Section: Discussionmentioning

confidence: 99%

“…Though pre-operative planning software and patient-specific technology has been shown to be beneficial in TSA, 18 – 20 most of these studies have been aimed at demonstrating the accuracy of positioning of implants in anatomical studies. The literature is relatively limited on use of such planning tools for prediction of implant sizes needed for a given case.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Anatomic Total Shoulder Arthroplasty: Component Size Prediction with 3-Dimensional Pre-Operative Digital Planning

Freehill

Weick

Ponce

et al. 2022

Journal of Shoulder and Elbow Arthroplasty

View full text Add to dashboard Cite

Background The rate, complexity, and cost of total shoulder arthroplasty (TSA) continues to grow. Technology has advanced pre-operative templating. Reducing cost of TSA has positive impact for the patient, manufacturer, and hospital. The aim of this study was to evaluate the accuracy of implant size selection based on 3-D templating. Our hypothesis was that pre-operative templating would enable accurate implant prediction within one size. Methods Multicenter retrospective study of anatomic TSAs templated utilizing 3-D virtual planning technology. This program uses computed tomography (CT) scans allowing the surgeon to predict component sizes of the glenoid and humeral head and stem. Pre-operative templated implant size were compared to actual implant size at the time of surgery. Primary data analysis utilized unweighted Cohen's Kappa test. Results 111 TSAs were analyzed from five surgeons. Pre-operative templated glenoid sizes were within one size of actual implant in 99% and exactly matched in 89%. For patients requiring a posterior glenoid augment (n = 14), 100% of implants were within one size of the template and 93% matched exactly. For stemless humeral components (n = 87) implanted, 98% matched the pre-operative template within one size with 79% exactly matched. For stemmed components (n = 24), 88% of cases were within one size of the preoperative plan and exactly matching in 83%. Humeral head diameter matched within one size of the pre-operative template in 84% of cases and exactly matched in 72%. Conclusion Pre-operative 3-D templating for TSAs can accurately predict glenoid and humeral component size. This study sets the groundwork for utilization of pre-operative 3-D templating as a potential method to reduce overall TSA costs by managing cost of implants, reducing inventory needs, and improving surgical efficiency.

show abstract

Preoperative Planning and Plan Execution in Shoulder Arthroplasty

Parsons,

Papandrea,

Greene

2023

Shoulder Arthritis Across the Life Span

View full text Add to dashboard Cite

3D preoperative planning for humeral head selection in total shoulder arthroplasty

Cited by 15 publications

References 37 publications

The use of preoperative planning to decrease costs and increase efficiency in the OR

The use of preoperative planning to decrease costs and increase efficiency in the OR

Anatomic Total Shoulder Arthroplasty: Component Size Prediction with 3-Dimensional Pre-Operative Digital Planning

Preoperative Planning and Plan Execution in Shoulder Arthroplasty

Contact Info

Product

Resources

About