Accuracy of patient-specific guided implantation of the glenoid component in reversed shoulder arthroplasty

The aim of this study was to assess the accuracy of patient-specific guided glenoid component implantation in reverse shoulder arthroplasty. 32 reverse shoulder arthroplasties were done using preoperative 3D planning and 4 patient-specific guides to prepare the glenoid and position the glenoid compo...

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Veröffentlicht in:Orthopaedics & traumatology, surgery & research surgery & research, 2018-10, Vol.104 (6), p.767-772
Hauptverfasser: Verborgt, O., Hachem, A.I., Eid, K., Vuylsteke, K., Ferrand, M., Hardy, P.
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container_title Orthopaedics & traumatology, surgery & research
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creator Verborgt, O.
Hachem, A.I.
Eid, K.
Vuylsteke, K.
Ferrand, M.
Hardy, P.
description The aim of this study was to assess the accuracy of patient-specific guided glenoid component implantation in reverse shoulder arthroplasty. 32 reverse shoulder arthroplasties were done using preoperative 3D planning and 4 patient-specific guides to prepare the glenoid and position the glenoid component. Baseplate version, inclination and entry point as well as angulation of the screws were compared to the preoperative plan measured on CT by independent observers. The mean deviation in baseplate version from the preoperative plan was 4.4°+3.1° (range, 0.3°–13.7°), in baseplate inclination 5.0°+4.2° (range, 0.1° to 14.5°) and in baseplate entry point 2.4mm+1.4mm (range, 0.4° to 6.3°). The average screw superior-inferior angulation deviation for the superior screw was 2.8°+2.6° (range, 0.0°–10.1°) and 2.8+2.6° in the antero-posterior plane (range, 0.1°–11.6°). For the inferior screw the superior-inferior angle deviation was 5.3°+3.8° (range, 0.1°–15.2°); the antero-posterior angle deviation was 4.1°+3.1° (range, 0.0°–9.8°). Patient-specific instrumentation (PSI) for the glenoid component in reverse shoulder arthroplasty allows the shoulder surgeon to accurately execute the preoperative 3D plan. Level 3.
doi_str_mv 10.1016/j.otsr.2018.01.010
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source Elsevier ScienceDirect Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals
subjects Arthroplasty
Glenoid
Patient-specific targeting guides
Reverse
Shoulder
title Accuracy of patient-specific guided implantation of the glenoid component in reversed shoulder arthroplasty
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