Innovation and an important step forward in the approach to orthopaedic surgery at the “Santa Scolastica” Hospital in Cassino where a Reverse Shoulder Arthroplasty Implant surgery was performed with the use of “Navigation”.
The particular intervention technique
Navigated shoulder prosthesis surgery uses a high-tech implant system with a GPS system that guides and orients the surgeon in the choice and positioning of the prosthesis. It is a system that works through sensors, supported by 3D virtual simulation from the preoperative phase (planning) of collecting anatomical data with diagnostic tests (CT): in practice, before the operation the surgeon can see in a simulation the final result of the operation suggested by the operating system.
During the operation, the surgeon sees the 3D data of the patient’s shoulder projected on a screen, as well as having a precise location of the instruments and devices he is using to implant the prosthesis. Navigated computer surgery allows the shoulder prosthesis to be implanted with a very high level of precision, thus minimizing the risks of errors and therefore post-operative complications such as, for example, dislocation of the prosthesis or early mobilization of the same.
The Patient
This surgery was performed on a 79-year-old patient from Cassinate, who due to a “Massive Rotator Cuff Injury” and due to repeated trauma had recurrent dislocations of the same joint. After performing other operations with poor results, she turned to Saint Scholastica.
The operation, carried out by the Director of Orthopaedics and Traumatology Dr. Pietro Dalla Vedova assisted by Dr. Giantony Di Giorgio, with the assistance of the Primary Anesthesiologist Dr. Emanuela Callegaro and his help Dr. Elio Calcagni and with the Operating Room team assisted by the CPSi Giuseppina Mentella, lasted about 1 hour and was perfectly successful.
The words of Dr. Dalla Vedova
“This method allows us to have numerous advantages in the treatment of this pathology and others. For example, increased precision in the positioning of the prosthesis, increased quality of life in the short post-operative period, increased longevity of the prosthesis (10-15 years), improved post-operative mobility, improved possibility of resuming sports, as long as without exaggerating. After the first cadaveric bone transplant, the process of evolution of Frosinone Asl Orthopaedics continues “.
