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| DOI | 10.1016/J.JSE.2023.05.002 | ||||
| Año | 2023 | ||||
| Tipo | artículo de investigación |
Citas Totales
Autores Afiliación Chile
Instituciones Chile
% Participación
Internacional
Autores
Afiliación Extranjera
Instituciones
Extranjeras
Background: Navigated augmented reality (AR) through a head-mounted display (HMD) may lead to accurate glenoid component placement in reverse shoulder arthroplasty (RSA). The purpose of this study is to evaluate the deviation between planned, intra- and postoperative inclination, retroversion, entry point, depth, and rotation of the glenoid component placement assisted by a navigated AR through HMD during RSA. Methods: Both shoulders of 6 fresh frozen human cadavers, free from fractures or other bony pathologies, were used. Preoperative computed tomography (CT) scans were used for the 3-dimensional (3D) planning. The glenoid component placement was assisted using a navigated AR system through an HMD in all specimens. Intraoperative inclination, retroversion, depth, and rotation were measured by the system. A postoperative CT scan was performed. The pre- and postoperative 3D CT scan reconstructions were superimposed to calculate the deviation between planned and postoperative inclination, retroversion, entry point, depth, and rotation of the glenoid component placement. Additionally, a comparison between intra- and postoperative values was calculated. Outliers were defined as >10° inclination, >10° retroversion, >3 mm entry point. Results: The registration algorithm of the scapulae prior to the procedure was correctly completed for all cases. The deviations between planned and postoperative values were 1.0° ± 0.7° for inclination, 1.8° ± 1.3° for retroversion, 1.1 ± 0.4 mm for entry point, 0.7 ± 0.6 mm for depth, and 1.7° ± 1.6° for rotation. The deviation between intra- and postoperative values were 0.9° ± 0.8° for inclination, 1.2° ± 1.1° for retroversion, 0.6 ± 0.5 mm for depth, and 0.3° ± 0.2° for rotation. There were no outliers between planned and postoperative parameters. Conclusion: In this study, the use of a navigated AR system through an HMD for RSA led to low deviation between planned and postoperative values and between intra- and postoperative parameters.
| Ord. | Autor | Género | Institución - País |
|---|---|---|---|
| 1 | Rojas, J. Tomas | Hombre |
Sonnenhof Orthopaedic Center - Suiza
Clínica Santa María - Chile Sonnenhof Orthopaed Ctr - Suiza Hosp San Jose Clin Santa Maria - Chile |
| 2 | Jost, Bernhard | Hombre |
Kantonsspital St.Gallen - Suiza
Kantonsspital - Suiza |
| 3 | Zipeto, Claudio | Hombre |
Medacta International SA - Suiza
Medacta Int - Suiza |
| 4 | Budassi, Piero | - |
Humanitas Gavazzeni Hospital - Italia
Human Gavazzeni & Human Castelli - Italia |
| 5 | Zumstein, Matthias A. | Hombre |
Sonnenhof Orthopaedic Center - Suiza
Sportsclinicnumber1 - Suiza University Hospital Bern - Suiza Sonnenhof Orthopaed Ctr - Suiza Bern Univ Hosp - Suiza Orthopädie Sonnenhof - Suiza |
| Agradecimiento |
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| Conflicts of interest: Bernhard Jost receives royalties and a research grant from and is a designer for Medacta. Matthias A. Zumstein receives a research grant from and is a designer for Medacta. Piero Budassi receives royalties from and is a designer for Medacta. Claudio Zipeto is employed at Medacta International SA and receives personal fees from Medacta. The other author, his immediate family, and any research foundations with which he is affiliated have not received any financial payments or other benefits from any commercial entity related to the subject of this article. |