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DOI: 10.1055/s-0044-1788783
Assessment of Inter- and Intrasurgeon Variability in Preoperative Planning of Reverse Shoulder Arthroplasty: A Multicenter Evaluation
Article in several languages: português | English Financial Support The present study did not receive specific financial support from public, commercial, or not-for-profit sources.Abstract
Objective To evaluate the intra and intersurgeon variability regarding the positioning and selection of implants in reverse shoulder arthroplasty.
Methods A cross-sectional study assessed computed tomography images of the shoulder joint of patients diagnosed with degenerative joint diseases. The study team included seven specialists in shoulder surgery, representing six different institutions. Surgeons were instructed to plan all cases twice, and then we evaluated inter- and intrasurgeon variability.
Results The interclass correlation for version and inclination showed low agreement concerning inclination (0.26), and moderate agreement for version (0.73) and graft selection (0.54). The intrasurgeon evaluation revealed a moderate correlation for version (0.55), inclination (0.58), and implant selection (0.46), while for lateralization the correlation was high (0.77).
Conclusion This comparative study of preoperative planning by different surgeons showed the lack of consensus on implant positioning parameters during reverse shoulder arthroplasty planning. However, most surgeons tend to plan for zero degrees of version and inclination.
Keywords
arthroplasty, replacement, shoulder/methods - observer variation - shoulder joint/surgery - softwareMulticenter study performed at Instituto Nacional de Traumatologia e Ortopedia Jamil Haddad, Rio de Janeiro, RJ; the Shoulder and Elbow Surgery Service at Faculdade de Medicina do ABC, São Paulo, SP; the School of Medicine of Universidade de São Paulo, São Paulo, SP; Instituto Naeon – Núcleo Avançado de Estudos em Ortopedia e Neurocirurgia, São Paulo, SP; and Hospital da Força Aérea do Galeão (HFAG), Rio de Janeiro, RJ, Brazil.
Publication History
Received: 10 January 2024
Accepted: 23 June 2024
Article published online:
16 August 2024
© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)
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Referências
- 1 Walch G, Mesiha M, Boileau P. et al. Three-dimensional assessment of the dimensions of the osteoarthritic glenoid. Bone Joint J 2013; 95-B (10) 1377-1382
- 2 Shapiro TA, McGarry MH, Gupta R, Lee YS, Lee TQ. Biomechanical effects of glenoid retroversion in total shoulder arthroplasty. J Shoulder Elbow Surg 2007; 16 (3, Suppl) S90-S95
- 3 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
- 4 Walch G, Badet R, Boulahia A, Khoury A. Morphologic study of the glenoid in primary glenohumeral osteoarthritis. J Arthroplasty 1999; 14 (06) 756-760
- 5 Ganapathi A, McCarron JA, Chen X, Iannotti JP. Predicting normal glenoid version from the pathologic scapula: a comparison of 4 methods in 2- and 3-dimensional models. J Shoulder Elbow Surg 2011; 20 (02) 234-244
- 6 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
- 7 Rojas J, Choi K, Joseph J, Srikumaran U, McFarland EG. Aseptic Glenoid Baseplate Loosening After Reverse Total Shoulder Arthroplasty: A Systematic Review and Meta-Analysis. JBJS Rev 2019; 7 (05) e7
- 8 Berhouet J, Jacquot A, Walch G, Deransart P, Favard L, Gauci MO. Preoperative planning of baseplate position in reverse shoulder arthroplasty: Still no consensus on lateralization, version and inclination. Orthop Traumatol Surg Res 2022; 108 (03) 103115
- 9 Boileau P, Cheval D, Gauci MO, Holzer N, Chaoui J, Walch G. Automated Three-Dimensional Measurement of Glenoid Version and Inclination in Arthritic Shoulders. J Bone Joint Surg Am 2018; 100 (01) 57-65
- 10 Raiss P, Walch G, Wittmann T, Athwal GS. Is preoperative planning effective for intraoperative glenoid implant size and type selection during anatomic and reverse shoulder arthroplasty?. J Shoulder Elbow Surg 2020; 29 (10) 2123-2127
- 11 Denard PJ, Provencher MT, Lädermann A, Romeo AA, Parsons BO, Dines JS. Version and inclination obtained with 3-dimensional planning in total shoulder arthroplasty: do different programs produce the same results?. JSES Open Access 2018; 2 (04) 200-204
- 12 Daggett M, Werner B, Gauci MO, Chaoui J, Walch G. Comparison of glenoid inclination angle using different clinical imaging modalities. J Shoulder Elbow Surg 2016; 25 (02) 180-185
- 13 Maurer A, Fucentese SF, Pfirrmann CW. et al. Assessment of glenoid inclination on routine clinical radiographs and computed tomography examinations of the shoulder. J Shoulder Elbow Surg 2012; 21 (08) 1096-1103
- 14 Parsons M, Greene A, Polakovic S. et al. Assessment of surgeon variability in preoperative planning of reverse total shoulder arthroplasty: a quantitative comparison of 49 cases planned by 9 surgeons. J Shoulder Elbow Surg 2020; 29 (10) 2080-2088
- 15 Gutiérrez S, Levy JC, Frankle MA. et al. Evaluation of abduction range of motion and avoidance of inferior scapular impingement in a reverse shoulder model. J Shoulder Elbow Surg 2008; 17 (04) 608-615
- 16 Piponov HI, Savin D, Shah N. et al. Glenoid version and size: does gender, ethnicity, or body size play a role?. Int Orthop 2016; 40 (11) 2347-2353
- 17 Chae SW, Kim SY, Lee H, Yon JR, Lee J, Han SH. Effect of baseplate size on primary glenoid stability and impingement-free range of motion in reverse shoulder arthroplasty. BMC Musculoskelet Disord 2014; 15: 417
- 18 Scalise J, Jaczynski A, Jacofsky M. The effect of glenosphere diameter and eccentricity on deltoid power in reverse shoulder arthroplasty. Bone Joint J 2016; 98-B: 218-223
- 19 Chou J, Malak SF, Anderson IA, Astley T, Poon PC. Biomechanical evaluation of different designs of glenospheres in the SMR reverse total shoulder prosthesis: range of motion and risk of scapular notching. J Shoulder Elbow Surg 2009; 18 (03) 354-359
- 20 Motta Filho GR, Amaral MVG. Artroplastia do ombro no tratamento das fraturas da extremidade proximal do úmero: conceitos atuais. Rev Bras Ortop 2022; 57 (04) 529-539
- 21 Heylen S, Van Haver A, Vuylsteke K, Declercq G, Verborgt O. Patient-specific instrument guidance of glenoid component implantation reduces inclination variability in total and reverse shoulder arthroplasty. J Shoulder Elbow Surg 2016; 25 (02) 186-192
- 22 Keener JD, Patterson BM, Orvets N, Aleem AW, Chamberlain AM. Optimizing reverse shoulder arthroplasty component position in the setting of advanced arthritis with posterior glenoid erosion: a computer-enhanced range of motion analysis. J Shoulder Elbow Surg 2018; 27 (02) 339-349
- 23 Bauer S, Corbaz J, Athwal GS, Walch G, Blakeney WG. Lateralization in Reverse Shoulder Arthroplasty. J Clin Med 2021; 10 (22) 5380