Mediclinic Metropolis Hospital performs first computer-assisted shoulder substitute surgical procedure


UAE-based Guide Orthopaedic Surgeon Dr Ved P. Goswami, FRCS, MS, MCh Orth (UK), has carried out the primary computer-assisted shoulder substitute surgical procedure within the Center East, utilizing a brand new expertise permitting stay navigation of the operative web site.

The expertise, ExactechGPS Complete Shoulder Utility, gives the surgeon with a real-time 3D pc mannequin of a affected person’s shoulder throughout surgical procedure. It does this by combining CT scan photographs with information from devices mounted with tiny infrared cameras. The software program permits the surgeon to information a bone drill mounted with an infrared digicam to the precise location plotted out throughout pre-op planning and decide drilling depth, screw placement and the flexibility to regulate the pre-op surgical plan, if obligatory. The cameras talk with a pc pill that shows a digital mannequin of the affected person’s shoulder, exhibiting a drill location like a dot on a smartphone’s map app.

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The software program permits surgeons to just about plan the operation utilizing a 3D anatomical mannequin of the affected person’s shoulder with photographs from a CT scan. Dr Goswami famous that it may be troublesome to get an entire view of a affected person’s shoulder anatomy throughout the precise surgical procedure.

“This dramatically improves accuracy,” says Dr Goswami. “It definitely means that you can place implants exactly. The human eye permits implant placement by even essentially the most skilled surgeons, to inside 3-5 millimetres. Nevertheless with this expertise, it permits placement inside 1-2 mm.”

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The mixture provides the surgeon a highway map for the position of implant screws, enhancing on what is feasible with the human eye. The expertise is predicted to supply safer, sturdy implants with fewer issues.

Dr Goswami carried out the surgical procedure on Could 5 at Mediclinic Metropolis Hospital in Dubai, UAE, on the fitting shoulder of Mrs E, a Dubai resident, whose extreme arthritis triggered excessive ache in her joints. She had a really stiff shoulder with vital bone loss and misaligned shoulder socket. ExactechGPS pc navigated system supplied a real-time 3D pc mannequin of the affected person’s shoulder enabling Dr Goswami to reconstruct the socket with an augmented implant to revive her alignment whereas performing a reverse substitute.

Mrs E mentioned she hoped the brand new expertise would assist many others in her state of affairs, permitting for safer, extra profitable surgical procedures. “To date, it’s been good,” she mentioned of her restoration per week after the surgical procedure. “I’ve to maintain reminding myself to maintain my arm down and never use my hand.”


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