Our Summary

This research paper looks into the evolution and future trends of technology, particularly the use of robotics, in shoulder replacement surgery, also known as total shoulder arthroplasty (TSA). Despite the lack of existing studies on robotic-assisted TSA, the authors conducted a narrative review of the available literature, which allowed them to examine a broader range of topics.

Only four studies on robotic-assisted TSA were included, mainly due to the fact that this technology is still new and not yet commercially available. The studies mentioned examined the use of prototype robotic technology in experimental and preclinical settings.

The paper also looked at other recent technological advancements in TSA, such as patient-specific instruments, computer-guided surgery, artificial intelligence, machine learning, and virtual and augmented reality.

The authors suggest that robotic-assisted TSA could provide several potential benefits, including more accurate bone cutting, better preparation of the shoulder socket, and improved assessment of soft tissues, based on early studies.

In conclusion, while there’s no current data on the use of robotics in TSA, the authors believe that the success of robotic technology in hip and knee replacement surgeries indicates that it could soon be used in shoulder replacements. This review can help orthopedic surgeons better understand and prepare for these future innovations.

FAQs

  1. What is the current state of robotic-assisted technology in total shoulder arthroplasty (TSA)?
  2. What potential benefits could robotic-assisted TSA provide according to the research paper?
  3. What other technological advancements in TSA have been examined in the research paper?

Doctor’s Tip

One helpful tip a doctor might tell a patient about shoulder replacement surgery is to follow their post-operative rehabilitation plan closely. This typically includes physical therapy exercises to help strengthen the shoulder and improve range of motion. Consistent participation in these exercises can greatly improve the success of the surgery and speed up the recovery process. It’s important for patients to communicate with their healthcare team and follow their recommendations for the best possible outcome.

Suitable For

Patients who are typically recommended for shoulder replacement surgery are those with severe shoulder pain and limited function due to conditions such as osteoarthritis, rheumatoid arthritis, post-traumatic arthritis, avascular necrosis, and rotator cuff tear arthropathy. These patients have not found relief from non-surgical treatments such as medication, physical therapy, and injections. Additionally, patients who have failed previous shoulder surgeries or have severe fractures of the shoulder may also be candidates for shoulder replacement.

It is important for patients to undergo a thorough evaluation by an orthopedic surgeon to determine if shoulder replacement is the best treatment option for their specific condition. The decision to undergo shoulder replacement surgery should be based on the severity of symptoms, the patient’s overall health, and their willingness to commit to the post-operative rehabilitation program.

Timeline

Before shoulder replacement surgery, a patient typically experiences chronic shoulder pain, stiffness, weakness, and limited range of motion. They may have tried conservative treatments such as physical therapy, medications, cortisone injections, and other non-surgical options with limited success.

After shoulder replacement surgery, the patient will undergo a period of rehabilitation and physical therapy to regain strength, range of motion, and function in the shoulder. They may experience temporary pain, swelling, and stiffness in the surgical area, which can be managed with medications and ice therapy. Over time, the patient should experience improved shoulder function and a reduction in pain, allowing them to return to their normal activities and enjoy a better quality of life.

What to Ask Your Doctor

Some questions a patient should ask their doctor about shoulder replacement include:

  1. What are the reasons for recommending shoulder replacement surgery?
  2. What are the potential risks and complications associated with shoulder replacement surgery?
  3. What is the expected recovery time and rehabilitation process after shoulder replacement surgery?
  4. Are there alternative treatments or procedures that could be considered instead of shoulder replacement?
  5. What type of shoulder replacement surgery (e.g. traditional, reverse, robotic-assisted) is recommended for my specific condition?
  6. What experience does the surgeon have with performing shoulder replacement surgeries, particularly with robotic-assisted techniques?
  7. What are the expected outcomes and long-term prognosis following shoulder replacement surgery?
  8. Will physical therapy be necessary after surgery, and if so, for how long?
  9. What lifestyle changes or modifications may be needed after shoulder replacement surgery?
  10. What type of follow-up care and monitoring will be required after surgery?

Reference

Authors: Twomey-Kozak J, Hurley E, Levin J, Anakwenze O, Klifto C. Journal: J Shoulder Elbow Surg. 2023 Oct;32(10):2161-2171. doi: 10.1016/j.jse.2023.04.022. Epub 2023 May 30. PMID: 37263482