Navigation in Shoulder Arthroplasty Surgery

Abstract

The indication of shoulder arthroplasties has increased progressively. Accurate positioning of the components may have significant implications for clinical results. The navigation used to aid in the performance of anatomical and reverse total arthroplasties has provided greater precision in implant placement, especially on the glenoid. The development of the technique, material, and prosthesis design have shown encouraging results and led to a trend toward its expansion. In this way, we estimate a higher survival of the arthroplasties resulting from lower rates of dislocation and early loosening. We aim to describe the current technique and to present the results of the literature with navigation. However, comparative clinical studies with long term follow-up are necessary to prove the efficacy in the final results of total shoulder arthroplasties.

Keywords

shoulder - arthroplasty/methods - surgery, computer assisted

Financial Support

There was no financial support from public, commercial, or non-profit sources.

Publication History

Received: 15 October 2019

Accepted: 10 March 2020

Article published online:
23 November 2020

• Referências

• 1 Kircher J, Wiedemann M, Magosch P, Lichtenberg S, Habermeyer P. Improved accuracy of glenoid positioning in total shoulder arthroplasty with intraoperative navigation: a prospective-randomized clinical study. J Shoulder Elbow Surg 2009; 18 (04) 515-520
• 2 Walch G, Badet R, Boulahia A, Khoury A. Morphologic study of the glenoid in primary glenohumeral osteoarthritis. J Arthroplasty 1999; 14 (06) 756-760
• 3 Nyffeler RW, Sheikh R, Atkinson TS, Jacob HA, Favre P, Gerber C. Effects of glenoid component version on humeral head displacement and joint reaction forces: an experimental study. J Shoulder Elbow Surg 2006; 15 (05) 625-629
• 4 Verborgt O, Vanhees M, Heylen S, Hardy P, Declercq G, Bicknell R. Computer navigation and patient-specific instrumentation in shoulder arthroplasty. Sports Med Arthrosc Rev 2014; 22 (04) e42-e49
• 5 Barrett I, Ramakrishnan A, Cheung E. Safety and Efficacy of Intraoperative Computer-Navigated Versus Non-Navigated Shoulder Arthroplasty at a Tertiary Referral. Orthop Clin North Am 2019; 50 (01) 95-101
• 6 Iannotti JP, Greeson C, Downing D, Sabesan V, Bryan JA. Effect of glenoid deformity on glenoid component placement in primary shoulder arthroplasty. J Shoulder Elbow Surg 2012; 21 (01) 48-55
• 7 Walch G, Vezeridis PS, Boileau P, Deransart P, Chaoui J. Three-dimensional planning and use of patient-specific guides improve glenoid component position: an in vitro study. J Shoulder Elbow Surg 2015; 24 (02) 302-309
• 8 Iannotti J, Baker J, Rodriguez E. et al. Three-dimensional preoperative planning software and a novel information transfer technology improve glenoid component positioning. J Bone Joint Surg Am 2014; 96 (09) e71
• 9 Bicknell RT, DeLude JA, Kedgley AE. et al. Early experience with computer-assisted shoulder hemiarthroplasty for fractures of the proximal humerus: development of a novel technique and an in vitro comparison with traditional methods. J Shoulder Elbow Surg 2007; 16 (3, Suppl) S117-S125
• 10 Edwards TB, Gartsman GM, O'Connor DP, Sarin VK. Safety and utility of computer-aided shoulder arthroplasty. J Shoulder Elbow Surg 2008; 17 (03) 503-508
• 11 Briem D, Ruecker AH, Neumann J. et al. 3D fluoroscopic navigated reaming of the glenoid for total shoulder arthroplasty (TSA). Comput Aided Surg 2011; 16 (02) 93-99
• 12 Verborgt O, De Smedt T, Vanhees M, Clockaerts S, Parizel PM, Van Glabbeek F. Accuracy of placement of the glenoid component in reversed shoulder arthroplasty with and without navigation. J Shoulder Elbow Surg 2011; 20 (01) 21-26
• 13 Stübig T, Petri M, Zeckey C. et al. 3D navigated implantation of the glenoid component in reversed shoulder arthroplasty. Feasibility and results in an anatomic study. Int J Med Robot 2013; 9 (04) 480-485
• 14 Sadoghi P, Vavken J, Leithner A, Vavken P. Benefit of intraoperative navigation on glenoid component positioning during total shoulder arthroplasty. Arch Orthop Trauma Surg 2015; 135 (01) 41-47
• 15 Venne G, Rasquinha BJ, Pichora D, Ellis RE, Bicknell R. Comparing conventional and computer-assisted surgery baseplate and screw placement in reverse shoulder arthroplasty. J Shoulder Elbow Surg 2015; 24 (07) 1112-1119
• 16 Theopold J, Pieroh P, Scharge ML. et al. Improved accuracy of K-wire positioning into the glenoid vault by intraoperative 3D image intensifier-based navigation for the glenoid component in shoulder arthroplasty. Orthop Traumatol Surg Res 2016; 102 (05) 575-581
• 17 Menge TJ, Boykin RE, Byram IR, Bushnell BD. A comprehensive approach to glenohumeral arthritis. South Med J 2014; 107 (09) 567-573
• 18 Sabesan VJ, Callanan M, Youderian A, Iannotti JP. 3D CT assessment of the relationship between humeral head alignment and glenoid retroversion in glenohumeral osteoarthritis. J Bone Joint Surg Am 2014; 96 (08) e64
• 19 Berhouet J, Gulotta LV, Dines DM. et al. Preoperative planning for accurate glenoid component positioning in reverse shoulder arthroplasty. Orthop Traumatol Surg Res 2017; 103 (03) 407-413
• 20 Werner BS, Hudek R, Burkhart KJ, Gohlke F. The influence of three-dimensional planning on decision-making in total shoulder arthroplasty. J Shoulder Elbow Surg 2017; 26 (08) 1477-1483
• 21 Nguyen D, Ferreira LM, Brownhill JR. et al. Improved accuracy of computer assisted glenoid implantation in total shoulder arthroplasty: an in-vitro randomized controlled trial. J Shoulder Elbow Surg 2009; 18 (06) 907-914