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Shoulder replacement surgery

computer-assisted preoperative planning and navigation

Rodríguez, José A., MD; Entezari, Vahid, MD, MS; Iannotti, Joseph P., MD, PhD; Ricchetti, Eric T., MD

doi: 10.1097/BCO.0000000000000754
Special Focus: Upper Extremity Rotation

With the increasing use of shoulder arthroplasty, surgeons encounter a greater number of primary and revision cases with glenoid deformity, presenting the challenge of avoiding glenoid component malpositioning that can impact patient function and implant longevity. Surgeons can now use preoperative three-dimensional imaging and templating to better understand each patient’s pathology and arrive at the operating room with a clear surgical strategy for implant type, size, and position. With the advent of intraoperative patient-specific instrumentation and navigation, the surgeon also has the means to translate the preoperative plan in the operating room with increased accuracy, thus, decreasing the likelihood of component malposition and its associated complications.

Department of Orthopedic Surgery, Cleveland Clinic, Cleveland, Ohio

Financial Disclosure: The following authors disclose a financial relationship outside this work: Dr. Iannotti, Depuy Synthes, Wright Tornier, Arthrex, and DJO Surgical; Dr. Ricchetti, DJ Orthopaedics and Depuy Synthes; Dr. Entezari, OREF Research Grant. The authors report no other conflicts of interest.

Correspondence to Eric T. Ricchetti, MD, Department of Orthopaedic Surgery, Orthopedic and Rheumatologic Institute, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH, 44195 Tel: +216-445-6915; fax: +216-445-6915; e-mail:

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