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Patient-specific glenoid guides provide accuracy and reproducibility in total shoulder arthroplasty.

Identifieur interne : 001B07 ( PubMed/Corpus ); précédent : 001B06; suivant : 001B08

Patient-specific glenoid guides provide accuracy and reproducibility in total shoulder arthroplasty.

Auteurs : M O Gauci ; P. Boileau ; M. Baba ; J. Chaoui ; G. Walch

Source :

RBID : pubmed:27482021

English descriptors

Abstract

Patient-specific glenoid guides (PSGs) claim an improvement in accuracy and reproducibility of the positioning of components in total shoulder arthroplasty (TSA). The results have not yet been confirmed in a prospective clinical trial. Our aim was to assess whether the use of PSGs in patients with osteoarthritis of the shoulder would allow accurate and reliable implantation of the glenoid component.

DOI: 10.1302/0301-620X.98B8.37257
PubMed: 27482021

Links to Exploration step

pubmed:27482021

Le document en format XML

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<title xml:lang="en">Patient-specific glenoid guides provide accuracy and reproducibility in total shoulder arthroplasty.</title>
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<name sortKey="Gauci, M O" sort="Gauci, M O" uniqKey="Gauci M" first="M O" last="Gauci">M O Gauci</name>
<affiliation>
<nlm:affiliation>Hôpital Pasteur 2, 30 Voie Romaine, Nice, 06000, France.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Boileau, P" sort="Boileau, P" uniqKey="Boileau P" first="P" last="Boileau">P. Boileau</name>
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<nlm:affiliation>Hôpital Pasteur 2, 30 Voie Romaine, Nice, 06000, France.</nlm:affiliation>
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<author>
<name sortKey="Baba, M" sort="Baba, M" uniqKey="Baba M" first="M" last="Baba">M. Baba</name>
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<nlm:affiliation>Specialty Orthopaedics, Sydney, Australia.</nlm:affiliation>
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<name sortKey="Chaoui, J" sort="Chaoui, J" uniqKey="Chaoui J" first="J" last="Chaoui">J. Chaoui</name>
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<nlm:affiliation>Telecom Brittany, 655 Avenue du Technopole, 29200 Plouzané, France.</nlm:affiliation>
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<author>
<name sortKey="Walch, G" sort="Walch, G" uniqKey="Walch G" first="G" last="Walch">G. Walch</name>
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<nlm:affiliation>Centre Orthopédique Santy, Unité Epaule, 24 Avenue Paul Santy, 69008 Lyon, France.</nlm:affiliation>
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<title xml:lang="en">Patient-specific glenoid guides provide accuracy and reproducibility in total shoulder arthroplasty.</title>
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<title level="j">The bone & joint journal</title>
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<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Arthroplasty, Replacement, Shoulder (instrumentation)</term>
<term>Arthroplasty, Replacement, Shoulder (methods)</term>
<term>Equipment Design</term>
<term>Female</term>
<term>Glenoid Cavity (surgery)</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Osteoarthritis (surgery)</term>
<term>Patient Care Planning</term>
<term>Preoperative Care (methods)</term>
<term>Printing, Three-Dimensional</term>
<term>Prospective Studies</term>
<term>Reproducibility of Results</term>
<term>Software</term>
<term>Surgery, Computer-Assisted (methods)</term>
<term>Tomography, X-Ray Computed</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="MESH" qualifier="instrumentation" xml:lang="en">
<term>Arthroplasty, Replacement, Shoulder</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Arthroplasty, Replacement, Shoulder</term>
<term>Preoperative Care</term>
<term>Surgery, Computer-Assisted</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Glenoid Cavity</term>
<term>Osteoarthritis</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Equipment Design</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Patient Care Planning</term>
<term>Printing, Three-Dimensional</term>
<term>Prospective Studies</term>
<term>Reproducibility of Results</term>
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<front>
<div type="abstract" xml:lang="en">Patient-specific glenoid guides (PSGs) claim an improvement in accuracy and reproducibility of the positioning of components in total shoulder arthroplasty (TSA). The results have not yet been confirmed in a prospective clinical trial. Our aim was to assess whether the use of PSGs in patients with osteoarthritis of the shoulder would allow accurate and reliable implantation of the glenoid component.</div>
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<Month>08</Month>
<Day>02</Day>
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<Month>02</Month>
<Day>14</Day>
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<Volume>98-B</Volume>
<Issue>8</Issue>
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<Year>2016</Year>
<Month>Aug</Month>
</PubDate>
</JournalIssue>
<Title>The bone & joint journal</Title>
<ISOAbbreviation>Bone Joint J</ISOAbbreviation>
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<ArticleTitle>Patient-specific glenoid guides provide accuracy and reproducibility in total shoulder arthroplasty.</ArticleTitle>
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<ELocationID EIdType="doi" ValidYN="Y">10.1302/0301-620X.98B8.37257</ELocationID>
<Abstract>
<AbstractText Label="AIMS" NlmCategory="OBJECTIVE">Patient-specific glenoid guides (PSGs) claim an improvement in accuracy and reproducibility of the positioning of components in total shoulder arthroplasty (TSA). The results have not yet been confirmed in a prospective clinical trial. Our aim was to assess whether the use of PSGs in patients with osteoarthritis of the shoulder would allow accurate and reliable implantation of the glenoid component.</AbstractText>
<AbstractText Label="PATIENTS AND METHODS" NlmCategory="METHODS">A total of 17 patients (three men and 14 women) with a mean age of 71 years (53 to 81) awaiting TSA were enrolled in the study. Pre- and post-operative version and inclination of the glenoid were measured on CT scans, using 3D planning automatic software. During surgery, a congruent 3D-printed PSG was applied onto the glenoid surface, thus determining the entry point and orientation of the central guide wire used for reaming the glenoid and the introduction of the component. Manual segmentation was performed on post-operative CT scans to compare the planned and the actual position of the entry point (mm) and orientation of the component (°).</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The mean error in the accuracy of the entry point was -0.1 mm (standard deviation (sd) 1.4) in the horizontal plane, and 0.8 mm (sd 1.3) in the vertical plane. The mean error in the orientation of the glenoid component was 3.4° (sd 5.1°) for version and 1.8° (sd 5.3°) for inclination.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Pre-operative planning with automatic software and the use of PSGs provides accurate and reproducible positioning and orientation of the glenoid component in anatomical TSA. Cite this article: Bone Joint J 2016;98-B:1080-5.</AbstractText>
<CopyrightInformation>©2016 The British Editorial Society of Bone & Joint Surgery.</CopyrightInformation>
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