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Computer navigated shoulder replacement

Computer Navigation for Shoulder Replacement


Total Shoulder Replacement Expert. Virginia Beach & Chesapeake, Virginia


Computer navigation has been used for hip and knee replacements for over a decade, but it has just recently made its way into the shoulder replacement world and I am happy to have this tool to offer my patients. When a surgeon performs a shoulder replacement the arthritic ball and socket are removed and replaced with a metal ball and socket. As you would imagine, it is important to place the new implant in the "perfect" position. Generally, the ability to do so is a reflection of the surgeon's skill and experience. Now there is new technology to help us. Computer navigated shoulder replacement begins by obtaining a CAT scan of the patients shoulder.


A computer program then builds a 3D model of the patients shoulder based on this scan. At the time of surgery, a device is used that synchronizes the actual position of the patient's shoulder to that of the model. Now as the surgeon works, he can see where his instruments are on the three dimensional model. This information allows us to make sure that we are placing the implants exactly where we intend to. 


This is a picture from a recent shoulder replacement that I did using the Exactech GPS navigation system. As you can see, there is a computer in the operating room that shows us our patients shoulder model and where our instruments are working. 

Brad Carofino, MD Dr. Brad Carofino is a board-certified (American Board of Orthopaedic Surgery), fellowship-trained orthopaedic surgeon who specializes in shoulder & upper extremity surgery. Dr. Carofino is an expert in shoulder replacement surgery, minimally invasive arthroscopic rotator cuff repair, and complex reconstructive procedures of the upper extremity.

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I enjoy sharing this story because it is a testament to patient's who are seeking a solution to shoulder arthritis who want to remain highly active. I am grateful for patients like Fred who give me the opportunity to improve their overall quality of life!