IC 11-2025 Everything You Need to Know to Perform Successful Shoulder Arthroplasty: Preoperative Planning, TSA, RTSA and Revision Arthroplasty (CME) OICK2025-IC 11-2025 Everything You Need to Know to Perform Successful Shoulder Arthroplasty: Preoperative Planning, TSA, RTSA and Revision Arthroplasty (CME)

IC 11-2025 Everything You Need to Know to Perform Successful Shoulder Arthroplasty: Preoperative Planning, TSA, RTSA and Revision Arthroplasty (CME)

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Video Summary

The shoulder arthroplasty session covered comprehensive aspects of preoperative planning, anatomic and reverse shoulder replacements, revision cases, and surgical techniques. Brian Warner emphasized the critical role of 3D preoperative planning and CT scans in improving surgical precision, implant placement, and operating room efficiency. Preoperative planning helps optimize version, inclination, and location of shoulder components, reducing intraoperative surprises and potentially enhancing long-term outcomes. Multiple software platforms exist, each with distinct interpretations of anatomy, underscoring the need for surgeon familiarity with their chosen system.<br /><br />Pete Chalmers detailed the evolution and current techniques in anatomic shoulder arthroplasty, advocating stemless implants as the preferred method to address humeral offset and facilitate easier revisions. Key surgical steps include careful exposure, minimal glenoid reaming, guided head cuts for accurate reconstruction, and robust subscapularis repair using a strong suture-plate technique to improve healing and shoulder stability. He highlighted the importance of glenoid component design and avoiding loosening.<br /><br />Reverse shoulder arthroplasty, presented by another speaker, involves medializing the center of rotation to enhance deltoid function, with expanding indications including rotator cuff tear arthropathy, deformity, and fractures. Proper implant positioning, inclination correction, lateralization, and subscapularis repair reduce risks like acromial fracture, scapular notching, instability, and improve range of motion. Newer implant designs have mitigated historical complications.<br /><br />Dr. Romeo addressed revision arthroplasty, focusing on infection diagnosis, implant removal, bone loss management with metal augments, and planning complex reconstructions. He emphasized the growing frequency of shoulder arthroplasty and revision surgeries, the value of systematic evaluation, and the promise of advances in imaging and surgical strategy to optimize outcomes.<br /><br />Overall, the session underscored meticulous preoperative assessment, advanced planning technology, careful surgical technique, and individualized implant selection as keys to successful shoulder arthroplasty and revision.

Keywords

shoulder arthroplasty

preoperative planning

3D planning

CT scans

anatomic shoulder replacement

reverse shoulder arthroplasty

stemless implants

glenoid component

subscapularis repair

revision shoulder surgery