There are many different types of instrumentation available for 3-D CT preoperative planning of total shoulder arthroplasty. Cleveland Clinic orthopaedic surgeons compare the accuracy of glenoid implant placement with the use of standard and patient-specific instrumentation.
Postoperative 3D CT imaging analysis demonstrates that shift of a polyethylene glenoid component commonly occurs following anatomic TSA, with increased inclination the most common direction of shift.
Our group’s recent study sought to determine the rate of successful preoperative synovial fluid aspiration and its effectiveness in diagnosis of PJI in patients undergoing revision shoulder arthroplasty.
The Walch classification is the most frequently utilized method for defining glenohumeral pathology in osteoarthritis. Adding two new glenoid types increases inter-rater reliability and offers a more reproducible system.
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Periprosthetic joint infection (PJI) following shoulder arthroplasty can present diagnostic and therapeutic challenges. Cleveland Clinic researchers suggest that synovial fluid biomarkers offer improved diagnosis of infection.
As part of Cleveland Clinic’s initiative to develop care paths for specific conditions, the Department of Orthopaedic Surgery is creating one to reduce variability in care for full-thickness rotator cuff tears.
Reverse total shoulder replacement is the best option for patients failing nonoperative management of severe arthritis and a large rotator cuff tear, particularly in patients who are in their 60s or older.