IC 208-2024: Everything You Need to Know to Perform Successful Shoulder Arthroplasty: Preoperative Planning, TSA, RTSA and Revision Arthroplasty-IC 208: Everything You Need to Know to Perform Successful Shoulder Arthroplasty: Preoperative Planning, TSA, RTSA and Revision Arthroplasty

IC 208: Everything You Need to Know to Perform Successful Shoulder Arthroplasty: Preoperative Planning, TSA, RTSA and Revision Arthroplasty

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Video Transcription

Video Summary

The discussion revolves around a shoulder arthroplasty session at a sports medicine meeting, indicating the growing significance of shoulder arthroplasty in the field. Each speaker provides a detailed presentation on different aspects of the procedure. Brian Werner from the University of Virginia starts by emphasizing the importance of preoperative planning, highlighting changes over his decade of experience, from zero CT scans during fellowship to 100% preoperative planning now. He walks through the benefits of planning, enhanced accuracy from CT scans, and the utility of transfer instrumentation.<br /><br />Peter Chalmers from the University of Utah then elaborates on anatomic total shoulder arthroplasty. He reviews the advancements in implant designs—such as stemless components and hybrid glenoid fixation—while emphasizing the significance of the subscapularis muscle in post-surgical stability and functional outcomes.<br /><br />Brandon Erickson discusses reverse shoulder arthroplasty, stressing the importance of preoperative planning for complex cases. He explains the biomechanics, indications, and goals of reverse arthroplasty, particularly for patients with significant rotator cuff damage or deformities. Erickson underscores minimizing bone reaming and balancing lateralization on both the glenoid and humeral sides.<br /><br />Lastly, Dr. Anthony Romeo addresses revision arthroplasty, focusing on complex scenarios and managing glenoid deformities with customized approaches, including bone grafts. He emphasizes the importance of considering patient comorbidities, the challenges of revision surgeries, and the importance of avoiding initial surgery failure.<br /><br />The session concludes with a Q&A, where insights on managing infection, acromial fractures, and detailed case studies are discussed, reflecting a comprehensive exploration of shoulder arthroplasty, leveraging experience and advanced surgical planning for improved patient outcomes.

Keywords

shoulder arthroplasty

sports medicine

preoperative planning

CT scans

anatomic total shoulder arthroplasty

implant designs

subscapularis muscle

reverse shoulder arthroplasty

biomechanics

revision arthroplasty

glenoid deformities

patient comorbidities

surgical planning