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January 3 2019

ProHealth Orthopedic Care brings computer-guided shoulder replacement to Wisconsin

ProHealth Orthopedic Care and the surgeons of Orthopaedic Associates of Wisconsin (OAW) are the first health care providers in Wisconsin to use an advanced navigation and positioning system for total shoulder replacements.

The procedures are performed at ProHealth Waukesha Memorial Hospital, ProHealth Oconomowoc Memorial Hospital and the Orthopaedic Surgery Center in Pewaukee using ExactechGPS’s guided personalized surgery technology.

The cutting-edge technology is the latest advancement in real-time visual guidance and alignment for shoulder replacement surgery. It provides a three-dimensional visual map of a patient’s joint, including places surgeons cannot easily see. It helps them better understand a patient’s anatomy before entering an operating room, and can be used for standard, reverse and stemless shoulder replacements.

Orthopedic surgeons Rick Papandrea, MD, Scott Schneider, MD, Christopher Kilian, MD, and Samuel Steiner, MD, of Orthopaedic Associates of Wisconsin, have performed 163 shoulder replacements using the advanced navigation system since it was introduced in December 2017.

“The innovative navigation offered by ExactechGPS pairs the surgeon’s expertise and an advanced computer system with the goal of improved accuracy and precision,” said John May, ProHealth’s vice president of ambulatory services. “This technology offers significant benefits for our patients.”

While not as common as knee replacement, total shoulder replacement is performed to relieve arthritis pain caused by joint degeneration, accident or injury. During the procedure, the damaged portion of the shoulder is removed and replaced, typically eliminating pain and enhancing a patient’s range of motion.

“Advanced navigation provides a unique perspective and shoulder replacement technique not seen before,” Dr. Schneider said. “It offers me the ability to create a plan for surgery prior to taking patients to the operating room and to apply that plan with accuracy, precision and reproducibility.” 

Prior to surgery, a CT scan of a patient’s shoulder is used to create a 3D model. The technology allows a surgeon to magnify and view the model of the shoulder from various angles on a digital screen, and try different implant options and positions to ensure the best fit and outcome for each patient.

“During the procedure, the anatomy of the shoulder socket is difficult to predict. It’s covered by muscles and is deep within the body,” Dr. Papandrea said. “The navigation and planning technology available from ExactechGPS makes surgery much more accurate, even for surgeons who have been performing shoulder replacement for many years.”

The system essentially allows a surgeon to perform a virtual shoulder replacement and save the specifications. Once in the operating room, a special monitor and instruments guide the surgeon and ensure the prosthesis is placed according to plan.

“This is a game-changer,” Dr. Kilian said. “Guided personalized surgery makes the surgeon better in ways that were not previously possible.”

To learn more about the surgeons who are performing guided personalized shoulder replacement surgery or the procedure, call 262-928-2745.

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For more than a century, ProHealth Care has been the health care leader in Waukesha County and surrounding areas, providing outstanding care across a full spectrum of services. The people of ProHealth Care strive to continuously improve the health and well-being of the community by combining skill, compassion and innovation. The ProHealth family includes ProHealth Waukesha Memorial Hospital, ProHealth Oconomowoc Memorial Hospital, ProHealth Rehabilitation Hospital of Wisconsin, ProHealth Medical Group, the UW Cancer Center at ProHealth Care, Moreland Surgery Center, ProHealth AngelsGrace Hospice, ProHealth Home Care, ProHealth West Wood Health & Fitness Center and ProHealth Regency Senior Communities. Learn more at ProHealthCare.org.