The use of computer navigation in reverse shoulder arthroplasty revision: a case report

The use of computer navigation in reverse shoulder arthroplasty revision: a case report

Authors

  • Luigi Tarallo
  • Gian Mario Micheloni Department of Orthopaedic Surgery, Azienda Ospedaliera Universitaria Integrata, Polo Chirurgico P. Confortini, Verona, Italy
  • Andrea Giorgini
  • Alessandro Donà
  • Giuseppe Porcellini

Keywords:

Navigation revision RSA infection

Abstract

Revision shoulder surgery is always a challenge, especially in the management of periprosthetic joint infection. Staged surgery with antibiotic-loaded cement spacer, seems to yield satisfactory and encouraging results. New technologies such as computer navigation are additional tools that could aid surgeons in particular conditions where the native anatomy is distorted. This study presents the unique experience of revision shoulder surgery with computer navigation assistance. Benefits related to this approach could lead to better prosthesis longevity and survivorship.

References

Singh JA, Sperling JW, Schleck C, Harmsen WS, Cofield RH. Periprosthetic infections after total shoulder arthroplasty: a 33-year perspective. J. Shoulder Elbow Surg. 2012;21:1534-41.

Grosso MJ, Sabesan VJ, Ho JC, Ricchetti ET, Iannotti JP. Reinfection rates after 1-stage revision shoulder arthroplasty for patients with unexpected positive intraoperative cultures. J Shoulder Elbow Surg. 2012;21:754-758.

Beekman PD, Katusic D, Berghs BM, Karelse A, DeWilde L. One-stage revision for patients with a chronically infected reverse total shoulder replacement. J Bone Joint Surg Br. 2010;92:817-22.

Mook WR, Garrigues GE, “Diagnosis and management of periprosthetic shoulder infections”. J. Bone Joint Surg. Am. 2014;96:956-65.

Stine IA, Lee B, Zalavras CG, Hatch G 3rd, Itamura JM. Management of chronic shoulder infections utilizing a fixed articulating antibiotic loaded spacer. J Shoulder Elbow Surg. 2010;19:739-48.

Sabesan VJ, Ho JC, Kovacevic D, Iannotti JP. Two-stage Reimplantation for Treating Prosthetic Shoulder Infections. Clin Orthop. 2011;469:2538–2543.

Strickland JP, Sperling JW, Cofield RH. The results of two-stage re-implantation for infected shoulder replacement. J Bone Joint Surg Br. 2008;90-B:460–465.

Klingebiel S, Theil C, Gosheger G et al. Clinical Outcome of Two-Stage Revision after Periprosthetic Shoulder Infection. J Clin Med. 2021 Jan 9;10(2):218. doi: 10.3390/jcm10020218. PMID: 33435442; PMCID: PMC7826686.

Lorenzetti A, Streit JJ, Cabezas AF, et al. Bone Graft Augmentation for Severe Glenoid Bone Loss in Primary Reverse Total Shoulder Arthroplasty: Outcomes and evaluation of host bone contact by 2D-3D images. JBJS Open Access. 2017;2(3):e0015. Doi: 10.2106/JBJS.OA.17.00015.

Burns DM, Frank T, Whyne CM, Henry PD. Glenoid component positioning and guidance techniques in anatomic and reverse total shoulder arthroplasty: A systematic review and meta-analysis. Shoulder Elbow. 2019;11(2 Suppl): 16-28. doi: 10.1177/1758573218806252.

Jahic D, Suero EM, Marjanovic B. The use of computer navigation and patient specific instrumentation in shoulder arthroplasty: everyday practice, just for special case or actually teaching a surgeon?. Acta Inform Med 2021;29(2):130-133.

Somerson JS, Hsu JE, Neradilek MB, Matsen FA III. Analysis of 4063 complications of shoulder arthroplasty reported to the US Food and Drug Administration from 2012 to 2016. J Shoulder Elb Surg. 2018;27(11):1978–1986. doi: 10.1016/j.jse.2018.03.025.

Wagner E, Houdek MT, Griffith T et al. Glenoid Bone-Grafting in Revision to a Reverse Total Shoulder Arthroplasty. J Bone Joint Surg Am. 2015 Oct 21;97(20):1653-60. doi: 10.2106/JBJS.N.00732. PMID: 26491129.

Klingebiel S, Theil C, Gosheger G et al. Clinical Outcome of Two-Stage Revision after Periprosthetic Shoulder Infection. J Clin Med. 2021 Jan 9;10(2):218. doi: 10.3390/jcm10020218. PMID: 33435442; PMCID: PMC7826686.

Ho JC, Sabesan VJ, Iannotti JP. Glenoid component retroversion is associated with osteolysis. J Bone Joint Surg Am. 2013;95:e82.

Porcellini G, Tarallo L, Novi M, Spiezia F, Catani F. Technology application in shoulder replacement. J Orthop Traumatol 2019;20(1):27. doi: 10.1186/s10195-019-0535-1.

Holzgrefe RE, Hao KA, Panther EJ, Schoch BS, Roche C, King JJ, Wright JO, Wright TW. Early clinical outcomes following navigation-assisted baseplate fixation in reverse total shoulder arthroplasty: a matched cohort study. J Shoulder Elbow Surg. 2022 Aug 20:S1058-2746(22)00632-2. doi: 10.1016/j.jse.2022.07.007. PMID: 35998780.

Downloads

Published

23-06-2023

How to Cite

1.
Tarallo L, Micheloni GM, Giorgini A, Donà A, Porcellini G. The use of computer navigation in reverse shoulder arthroplasty revision: a case report. Acta Biomed. 2023;94(S2):e2023176. doi:10.23750/abm.v94iS2.13832