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Editor’s note: During the upcoming Critical Concepts in Shoulder & Elbow Surgery course, Dr. Julie Bishop will discuss PSI and navigation in shoulder arthroplasty. We asked Dr. Bishop to preview the key points of this talk.

FORE, the Foundation for Orthopaedic Research and Education: One of your presentations will address how PSI and navigation are being used in shoulder arthroplasty cases. Why is this an important topic to include in the agenda for Critical Concepts in Shoulder & Elbow Surgery?

Julie Y. Bishop, MD: PSI, navigation, and surgical planning have exploded on the shoulder arthroplasty scene in the last few years. They truly are the future of shoulder arthroplasty.

Utilization of shoulder arthroplasty continues to grow, and we expect surgeons to be facing increasingly complex reconstructive challenges – not only in the primary arthroplasty setting, but also in the revision arthroplasty setting.

It is imperative, therefore, to have a topic like this on the cutting-edge agenda of CCSES to help surgeons prepare to add these technologies to their workflow.

RELATED: Register now for Critical Concepts in Shoulder & Elbow Surgery, November 14-16 in Las Vegas

FORE: What are the benefits of using PSI and navigation in shoulder arthroplasty? Are there any tangible improvements in shoulder function when these technologies are used?

Dr. Bishop: One of the primary benefits of PSI and navigation is their ability to help improve the accuracy of glenoid and humeral component positioning, especially in complex arthroplasty cases. They take the guess work and “eyeballing” out of the equation and allow a more precise replication of preoperative planning. The goal is to maximize accurate fixation and minimize component malposition, which naturally will lead to better patient outcomes, better impingement-free range of motion, and, in the long term, better anticipated component longevity.

FORE: What are some of the drawbacks of using PSI and navigation?

Dr. Bishop: I think the drawbacks are primarily that PSI and surgical navigation do have an associated cost, although in my opinion, the cost is well worth it considering the peace of mind one has that their component positioning is as accurate as possible. It also takes time for training and planning, but again, it is time well spent if it improves patient outcomes. Intraoperative navigation can add time to a surgical case; however, more accurate component positioning will hopefully decrease component failure and subsequent surgical revisions, which, in the long run, will save time and money.

FORE: What are the key points you want attendees to take away from your presentation? 

Dr. Bishop: PSI, navigation, and surgical planning are the future of shoulder arthroplasty and truly are easy to learn and well worth the effort, given that they improve accuracy. This can only lead to better component longevity and improved patient outcomes.

ABOUT THE EXPERT

Julie Y. Bishop, MD, is Director of the Division of Shoulder Surgery and Clinical Professor of Orthopedics at The Ohio State University Wexner Medical Center in Columbus, Ohio. A board-certified orthopaedic surgeon, Dr. Bishop’s research interests include shoulder instability, shoulder injuries, and overuse injuries.

ABOUT THE COURSE

Dr. Bishop is among the 29 faculty members of the completely redesigned Critical Concepts in Shoulder & Elbow Surgery, taking place November 14-16, 2024, at FIVE Labs Las Vegas.

This is the only course where you’ll learn how to do shoulder and elbow procedures by actually doing them. We aren’t going to tell you how to address a rotator cuff tear, or tackle shoulder instability, or expose the glenoid and humerus for anatomic shoulder replacement. We’re going to show you, and then we’re going to coach you as you perform the techniques on anatomic specimens in our brand-new, state-of-the-art bioskills lab.

Click here for more information and to register for the course.