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Reverse Total Shoulder Arthroplasty With the Use of Navigation

March 01, 2019

Contributors: Pierre-Henri Flurin, MD; Pierre-Henri Flurin, MD

This video begins with a demonstration and explanation of preoperative planning software. The array of glenoid solutions offered and the points of view that can be observed with the software are shown. The preoperative plan is saved and used intraoperatively with the navigation system. The video then provides a brief overview of the takedown of soft tissue surrounding the shoulder and discusses the steps for glenoid exposure. After glenoid exposure, the glenoid is prepared for the acquisition steps of navigation. The patient’s glenoid is registered to match CT by performing a series of acquisitions of different points on the glenoid. These acquisition points are verified before the glenoid is prepared. The surgeon then drills the pilot hole, performs reaming, drills the center cage hole, and places compression screws. The surgeon is able to navigate each step to place the glenoid component according to the preoperative plan. The onscreen navigation in the sterile field shows live feedback of each step and allows the surgeon to deviate from the preoperative plan. After the baseplate and compression/locking caps are implanted, the final glenosphere is attached. After appropriate tension is attained with the trial humeral components, the final humeral components are assembled and reduced onto the glenoid. Closure is then performed.

Results for "Shoulder & Elbow"

3 of 17
3 of 17

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