Safety and Efficacy of Intraoperative Computer-Navigated Versus Non-Navigated Shoulder Arthroplasty at a Tertiary Referral

Barrett, Ian R.; Ramakrishnan, Anna; Cheung, Emilie V.

doi:10.1016/j.ocl.2018.08.004

Cited by 21 publications

(29 citation statements)

References 20 publications

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“…According to the literature, the surgical time is increased around 6 up to 31 minutes. 1,5,10,12 In another study, the navigated surgery was 2.2 minutes faster, but not statistically significant (p ¼ 0.07). 15 Barrett et al described 2 cases (5.5%) of coracoid process fracture due to the fixation of the sensor.…”

Section: Discussionmentioning

confidence: 91%

“…However, the initial results are promising. 4,5 In one of the first experiments with the aid of intraoperative computation, Bicknel et al, 9 in 2007, used a computer-assisted surgical technique for the treatment of four-part fractures using hemiarthroplasty. They showed a statistically significant difference when using the computer-assisted method in determining the offset of the humeral head.…”

Section: Resultsmentioning

confidence: 99%

“…Consequently, it decreases the cost of revisions in general. 5 Long-term prospective comparative clinical studies are needed in the future to determine the functional outcome and the cost-benefit of computer-assisted technology in TSA. 4…”

Section: Discussionmentioning

confidence: 99%

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Navegação em cirurgia de artroplastia de ombro

Nascimento

Ikemoto

Wright

2020

Rev Bras Ortop (Sao Paulo)

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ResumoA indicação de artroplastias do ombro aumentou progressivamente. O posicionamento preciso dos componentes pode ter implicações significativas para os resultados clínicos. A navegação utilizada para auxiliar no desempenho de artroplastias totais anatômicas e reversas tem proporcionado maior precisão na colocação do implante, especialmente do componente glenoidal. O desenvolvimento da técnica, do material e do desenho da prótese têm mostrado resultados encorajadores e levado a uma tendência de expansão da sua utilização. Dessa forma, estimamos uma maior sobrevida das artroplastias resultantes de menores taxas de instabilidade e soltura precoce. Nosso objetivo é descrever a técnica atual e apresentar os resultados da literatura com navegação. No entanto, estudos clínicos comparativos com acompanhamento de longo prazo são necessários para comprovar a eficácia nos resultados finais das artroplastias totais do ombro.

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Section: Discussionmentioning

confidence: 91%

Section: Resultsmentioning

confidence: 99%

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Navegação em cirurgia de artroplastia de ombro

Nascimento

Ikemoto

Wright

2020

Rev Bras Ortop (Sao Paulo)

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“…Intra-operative CT-based navigation accuracy in orthopedic surgery has been proven in several studies, [19][20][21][22] but very few studies exist about navigation in shoulder arthroplasty, and those are mostly in experimental setups using cadaveric specimens. 21,24,25 The aim of this study was to determine whether intraoperative CT-based navigation could improve the glenoid baseplate position and fixation by increasing the length of screw, decreasing the number of screws needed to obtain primary fixation, and eventually increasing the use of augmented baseplate in patients undergoing RSA.…”

Section: Introductionmentioning

confidence: 99%

Pre-Operative CT-Based Planning Integrated With Intra-Operative Navigation in Reverse Shoulder Arthroplasty: Data Acquisition and Analysis Protocol, and Preliminary Results of Navigated Versus Conventional Surgery

et al. 2020

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Reverse total shoulder arthroplasty (RSA) successfully restores shoulder function in different conditions. Glenoid baseplate fixation and positioning seem to be the most important factors influencing RSA survival. When scapular anatomy is distorted (eccentric osteoarthrirtis, rotator cuff arthropathy), optimal baseplate positioning and secure screw purchase can be challenging. The aim of this study was to evaluate whether CT-based pre-operative planning, integrated with intra-operative navigation could improve glenoid baseplate fixation and positioning by increasing screw length, reducing number of screws required to obtain fixation and increasing the use of augmented baseplate to gain the desired positioning. Twenty patients who underwent navigated RSA were compared retrospectively with 20 patients operated on with a conventional technique. All the procedures were performed by the same surgeon, using the same implant. Mean screw length was significantly longer in the navigation group (35.5 ± 4.4 mm vs 29.9 ± 3.6 mm; p = .001). Significant higher rate of optimal fixation using 2 screws only (17 vs 3 cases, p = .019) and higher rate of augmented baseplate usage (13 vs 4 cases, p = .009) was also present in the navigation group. Pre-operative CT-based planning integrated with intra-operative navigation can improve glenoid component positioning and fixation, possibly leading to an improvement of RSA survival.

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“…Various systems have been developed to assist in glenoid component implantation including the use of computer-assisted surgery (CAS) and patient-specific instrumentation (PSI). Numerous papers have reported a superiority in the accuracy of CAS; however, CAS is hampered by a significant increase in operation time and a lack of reliability [ 5 , 6 ]. Using custom-made patient-specific guides prepared from preoperative 3-dimensional computed tomography has grown in popularity due to their capacity to reduce surgical time and their reported great accuracy.…”

mentioning

confidence: 99%

Evaluation of Accuracy and Reproducibility of Patient-specific Guides Using 3-dimensional Reconstruction in Reverse Total Shoulder Arthroplasty

Kim

2019

Clin Shoulder Elbow

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Safety and Efficacy of Intraoperative Computer-Navigated Versus Non-Navigated Shoulder Arthroplasty at a Tertiary Referral

Cited by 21 publications

References 20 publications

Navegação em cirurgia de artroplastia de ombro

Navegação em cirurgia de artroplastia de ombro

Pre-Operative CT-Based Planning Integrated With Intra-Operative Navigation in Reverse Shoulder Arthroplasty: Data Acquisition and Analysis Protocol, and Preliminary Results of Navigated Versus Conventional Surgery

Evaluation of Accuracy and Reproducibility of Patient-specific Guides Using 3-dimensional Reconstruction in Reverse Total Shoulder Arthroplasty

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