Patient-specific instrumentation for total shoulder arthroplasty

Shoulder arthroplasty is a demanding procedure with a known complication rate. Most complications are associated with the glenoid component, a fact that has stimulated investigation into that specific component of the implant. Avoiding glenoid component malposition is very important and is a key reason for recent developments in pre-operative planning and instrumentation to minimise risk. Patient-specific instrumentation (PSI) was developed as an alternative to navigation systems, originally for total knee arthroplasty, and is a valid option for shoulder replacements today. It offers increased accuracy in the placement of the glenoid component, which improves the likelihood of an optimal outcome. A description of the method of pre-operative planning and surgical technique is presented, based on the author's experience and a review of the current literature.