Improving Outcomes in Reverse TSA Using Technology

Description

This presentation from the ISTA 2024 conference held in Nashville on advancements in shoulder arthroplasty, focuses on the evolution of technologies in surgical procedures. It opens with the speaker, Thomas 'Quin' Throckmorton apologizing for stepping out briefly before expressing gratitude for the audience’s presence. Dr Throckmorton introduces the expansive topic, noting a shift from the technical, detailed discussions common in the shelter world, to a broader perspective on the future of shoulder technology.



Dr Throckmorton humorously cites advancements in history, comparing shoulder arthroplasty to revolutionary inventions such as the wheel and sliced bread, emphasizing how reverse arthroplasty has transformed the treatment of previously unsolvable shoulder problems, making complex surgeries routine. The presentation highlights significant advancements in implant design and technological integration over the last 15 years, with a particular focus on predictive analytics, navigation systems, remote patient monitoring, robotics, augmented reality, and artificial intelligence in surgery.



Dr Throckmorton explains how predictive modeling has improved, showcasing his work with a model that predicts outcomes post-surgery based on various data inputs, demonstrating the importance of patient-specific metrics in clinical decisions. He discuss advancements in planning and execution, stressing the need for real-time feedback during surgeries to ensure proper execution based on preoperative plans.



Additionally, the presentation covers remote patient monitoring as a means of enhancing patient engagement and reducing unnecessary hospital visits, while robotics and augmented reality are introduced as exciting prospects for enhancing surgical precision. The discussion transitions to the future of machine learning in evaluating the characteristics of soft tissues in the shoulder, aiming to improve outcomes further.



Concluding remarks focus on the need for cost-effective technological solutions in surgery amidst rising healthcare costs. The speaker encourages ongoing innovation while being mindful of financial implications. The session wraps up with an engaging Q&A segment, where attendees ask about future implant designs and the balance between innovation and cost-efficiency.

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