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Volume 11
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10.3390/jcm11247422
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Article

Single-Stage Revision Reverse Shoulder Arthroplasty: Preoperative Planning, Surgical Technique, and Mixed Reality Execution

by
Kristine Italia
1,*,
Marine Launay
1,2,
Luke Gilliland
1,2,
James Nielsen
1,2,
Roberto Pareyon
1,3,4,
Freek Hollman
1,3,4,
Asma Salhi
1,2,
Jashint Maharaj
1,
Mohammad Jomaa
1,3,4,
Kenneth Cutbush
1,4 and
Ashish Gupta
1,2,3,*
1
Queensland Unit for Advanced Shoulder Research (QUASR), Queensland University of Technology, Brisbane, QLD 4000, Australia
2
Akunah, Brisbane, QLD 4120, Australia
3
Greenslopes Private Hospital, Brisbane, QLD 4120, Australia
4
Brisbane Private Hospital, Brisbane, QLD 4000, Australia
*
Authors to whom correspondence should be addressed.
J. Clin. Med. 2022, 11(24), 7422; https://doi.org/10.3390/jcm11247422
Submission received: 31 October 2022 / Revised: 7 December 2022 / Accepted: 11 December 2022 / Published: 14 December 2022
(This article belongs to the Special Issue New Advances in Shoulder Surgery)
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Abstract

Revision shoulder arthroplasty is increasing with the number of primary shoulder replacements rising globally. Complex primary and revisions of shoulder arthroplasties pose specific challenges for the surgeon, which must be addressed preoperatively and intraoperatively. This article aimed to present strategies for the management of revision of shoulder arthroplasties through a single-stage approach. Preoperatively, patient factors, such as age, comorbidities, and bone quality, should be considered. The use of planning software can aid in accurately evaluating implants in situ and predict bony anatomy that will remain after explantation during the revision surgery. The planning from such software can then be executed with the help of mixed reality technology to allow accurate implant placement. Single-stage revision is performed in two steps (debridement as first step, implantation and reconstruction as the second step), guided by the following principles: adequate debridement while preserving key soft tissue attachments (i.e., rotator cuff, pectoralis major, latissimus dorsi, deltoid), restoration of glenoid joint line using bone grafting, restoration of humeral length, reconstruction and/or reattachment of soft tissues, and strict compliance with the postoperative antibiotic regimen. Preliminary results of single-stage revision shoulder arthroplasty show improvement in patient outcomes (mean 1 year), successful treatment of infection for those diagnosed with periprosthetic joint infection, and improved cost–benefit parameters for the healthcare system.
Keywords: single-stage revision; shoulder arthroplasty; preoperative planning; mixed reality single-stage revision; shoulder arthroplasty; preoperative planning; mixed reality

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MDPI and ACS Style

Italia, K.; Launay, M.; Gilliland, L.; Nielsen, J.; Pareyon, R.; Hollman, F.; Salhi, A.; Maharaj, J.; Jomaa, M.; Cutbush, K.; et al. Single-Stage Revision Reverse Shoulder Arthroplasty: Preoperative Planning, Surgical Technique, and Mixed Reality Execution. J. Clin. Med. 2022, 11, 7422. https://doi.org/10.3390/jcm11247422

AMA Style

Italia K, Launay M, Gilliland L, Nielsen J, Pareyon R, Hollman F, Salhi A, Maharaj J, Jomaa M, Cutbush K, et al. Single-Stage Revision Reverse Shoulder Arthroplasty: Preoperative Planning, Surgical Technique, and Mixed Reality Execution. Journal of Clinical Medicine. 2022; 11(24):7422. https://doi.org/10.3390/jcm11247422

Chicago/Turabian Style

Italia, Kristine, Marine Launay, Luke Gilliland, James Nielsen, Roberto Pareyon, Freek Hollman, Asma Salhi, Jashint Maharaj, Mohammad Jomaa, Kenneth Cutbush, and et al. 2022. "Single-Stage Revision Reverse Shoulder Arthroplasty: Preoperative Planning, Surgical Technique, and Mixed Reality Execution" Journal of Clinical Medicine 11, no. 24: 7422. https://doi.org/10.3390/jcm11247422

APA Style

Italia, K., Launay, M., Gilliland, L., Nielsen, J., Pareyon, R., Hollman, F., Salhi, A., Maharaj, J., Jomaa, M., Cutbush, K., & Gupta, A. (2022). Single-Stage Revision Reverse Shoulder Arthroplasty: Preoperative Planning, Surgical Technique, and Mixed Reality Execution. Journal of Clinical Medicine, 11(24), 7422. https://doi.org/10.3390/jcm11247422

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