Computer assisted navigation in total shoulder arthroplasty

Q2 Medicine

Journal of Clinical Orthopaedics and Trauma Pub Date : 2026-03-01 Epub Date: 2026-01-27 DOI:10.1016/j.jcot.2026.103359

Tej Joshi, Swara R. Kalva, Dario Fucich, Roy Romem, Mandeep S. Virk

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引用次数: 0

Abstract

The utilization of total shoulder arthroplasty has increased markedly over recent decades, owing to the introduction of reverse shoulder arthroplasty, modular and convertible components, and advances in preoperative planning and intraoperative guidance technology. Three-dimensional (3D) computed tomography (CT)–based planning software enables accurate assessment and correction of glenoid deformity and plan for individualized implant selection and templating. Guidance technology extends this capability into the operating room by allowing the surgeon to replicate the preoperative plan with precision and accuracy. Computer-assisted navigation (CAN) is a guidance technology that provides real-time intraoperative feedback to execute the preoperative plan. CAN is currently available for the glenoid component only and is particularly useful in complex primary and revision cases, providing improved accuracy and precision of glenoid component placement, and better short-term outcomes. Although the cost effectiveness, and long-term benefits on implant survivorship are unknown, CAN represents a safe and effective intraoperative guidance tool while maintaining low complication rates. In this review, we discuss the current status of CAN in shoulder arthroplasty including the surgical technique, and review of literature.

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全肩关节置换术中的计算机辅助导航

近几十年来，由于反向肩关节置换术、模块化和可转换部件的引入，以及术前计划和术中引导技术的进步，全肩关节置换术的应用显著增加。基于三维（3D）计算机断层扫描（CT）的规划软件能够准确评估和纠正关节盂畸形，并为个性化的植入物选择和模板制定计划。引导技术通过允许外科医生精确和准确地复制术前计划，将这种能力扩展到手术室。计算机辅助导航（CAN）是一种提供实时术中反馈以执行术前计划的导航技术。CAN目前仅用于关节盂假体，在复杂的初次和翻修病例中特别有用，可提高关节盂假体放置的准确性和精度，并提供更好的短期效果。虽然成本效益和种植体存活的长期效益尚不清楚，但CAN是一种安全有效的术中引导工具，同时保持低并发症发生率。在这篇综述中，我们讨论了CAN在肩关节置换术中的现状，包括手术技术和文献综述。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Clinical Orthopaedics and Trauma Medicine-Orthopedics and Sports Medicine

CiteScore

4.30

自引率

0.00%

发文量

181

审稿时长

92 days

期刊介绍： Journal of Clinical Orthopaedics and Trauma (JCOT) aims to provide its readers with the latest clinical and basic research, and informed opinions that shape today''s orthopedic practice, thereby providing an opportunity to practice evidence-based medicine. With contributions from leading clinicians and researchers around the world, we aim to be the premier journal providing an international perspective advancing knowledge of the musculoskeletal system. JCOT publishes content of value to both general orthopedic practitioners and specialists on all aspects of musculoskeletal research, diagnoses, and treatment. We accept following types of articles: • Original articles focusing on current clinical issues. • Review articles with learning value for professionals as well as students. • Research articles providing the latest in basic biological or engineering research on musculoskeletal diseases. • Regular columns by experts discussing issues affecting the field of orthopedics. • "Symposia" devoted to a single topic offering the general reader an overview of a field, but providing the specialist current in-depth information. • Video of any orthopedic surgery which is innovative and adds to present concepts. • Articles emphasizing or demonstrating a new clinical sign in the art of patient examination is also considered for publication. Contributions from anywhere in the world are welcome and considered on their merits.