The ability to reliably and accurately measure subtle radiographic factors longitudinally following anatomic TSA may allow for a deeper understanding of the relationship between short- and longer-term clinical outcomes.
Anthony Miniaci, MD, a shoulder and sports medicine surgeon in Cleveland Clinic’s Department of Orthopaedic Surgery recently authored a proof-of-concept study that demonstrates the clinical utility of a surgical technique for patients undergoing a total shoulder arthroplasty.
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.
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Findings regarding pathologic wear patterns in glenohumeral osteoarthritis may ultimately impact treatment decision-making, surgical timing and type of shoulder arthroplasty chosen, and maximize clinical outcomes and implant longevity.
New surgical solutions promise advantages for shoulder instability — lower complication rates and better outcomes – and lower the learning curve, but longer-term research needed.
Orthopaedic surgeons are the third-highest prescribers of opioid-based medications. Recognizing our role and responsibilities in balancing pain management with helping patients avoid opioid dependency, a group of forward-thinking Cleveland Clinic Florida physicians is looking at ways to stem the tide.
Glenoid component loosening after total shoulder arthroplasty is not easy to predict. We looked at 3-D computed tomography (CT) to see if could identify changes that standard imaging methods could not.