Name: Preoperative Planning with Arthrex Virtual Implant Positioning™ System
Uploaded: 2016-07-22T00:00:00Z
Channel: Arthrex

Arthroplasty Shoulder

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VID1-00824-EN | C | Preoperative Planning with Arthrex Virtual Implant Positioning™ System

Wayne Burkhead

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Preoperative Planning with Arthrex Virtual Implant Positioning™ System

Hi this is Buzz Burkhead. I'm at the Carroll Clinic Center. This is the Arthrex VIP planning platform. And we pulled this up. And here we have a 3D model. This is real time. You turn in a CT scan that's a one millimeter slice CT scan. And then you within 24 hours you get notified that the plan is up. And then you're able to customize it at will. And it's a very flexible, very user friendly platform. The technicians have already put in this patient's native version minus almost minus five native inclination positive eight degrees. The version control. If you look right down here, I like maybe a little bit more retro version in my patients. And so we'll just look at this screen and this screen here. And we'll change the version a little bit. Make it a little more retroverted and about minus seven degrees, kind of the standard average of retro version of the human glenoid inclination. I'm not a big believer in having any superior tilt on any kind of glenoid component, so I'm going to take the inclination out of this. I'm going to go ahead and and angle the implant inferiorly a little bit back down to pretty much zero degrees, just to avoid any tendency towards superior escape that the component might create. Role is this kind of axial motion. And you can see looking here on the sagittal view. Again the top of the glenoid should be at the very base of the coracoid. And so I'm going to roll this around a little bit to line that up. Now you can change the type of implant you use with this. And we'll go to implant options. And we might want to try to see what a large glenoid could do for this patient. And there may be a little bit overhang here. This may be ossified labrum that may get debrided. So I'd probably stick with a medium component. And if you had a lot of deformity, you might want to use a keeled component. This is pretty much real time changes that you're seeing. And then or if you're doing a reverse, this is what a reverse component would do. Obviously you would put it in a lot different position. So let's just go back to the planned component which is a pegged glenoid component. And I agree with the planners that a medium is the right size. And I'm going to go back down to my implant controls. And I've got my minus seven degrees of version. I've got zero degrees of inclination roll of 25 degrees. And I'm going to go ahead and approve this plan. The whole process takes you about five minutes. And so I feel pretty confident that I've got this patient pretty accurately planned for the all important step of glenoid placement. So we'll go back up here, approve the plan. And for this case we'll have the five D calibrator there and also the 3D model. And then finally approve the plan. Thank you very much.

Preoperative Planning with Arthrex Virtual Implant Positioning™ System

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Arthroplasty Shoulder

Virtual Implant Positioning™ -System (VIP™)

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