Garofalo Raffaele, Fontanarosa Alberto, Castagna Alessandro, Lassandro Nunzio, Del Buono Angelo, De Crescenzo Angelo
Department of Orthopaedics and Traumatology, Ente Ecclesiastico Ospedale "F. Miulli", Strada Prov. 127 Acquaviva-Santeramo Km. 4, Acquaviva delle Fonti, 70021 Bari, Italy.
Department of Orthopaedics and Traumatology, Humanitas University Milano, Via Rita Levi Montalcini 4, Rozzano, 20090 Milano, Italy.
J Clin Med. 2023 Mar 30;12(7):2620. doi: 10.3390/jcm12072620.
The purpose of this study was to evaluate the impact of software updating on measurements of the glenoid inclination and version, along with humeral head subluxation performed by an automated 3D planning program. The hypothesis was that the software update could significantly modify the values of the glenoid inclination and version, as well as of the humeral head subluxation.
A comprehensive pool of 76 shoulder computed tomography (CT) scans of patients who underwent total shoulder arthroplasty (TSA) or reverse total shoulder arthroplasty (RTSA) were analyzed with the automated program Blueprint in 2018 and again in 2020 after a software update.
A statistically significant difference of 8.1 ± 8.2 and 5.4 ± 7.8 (mean difference of -2.8 ± 5.0, < 0.001) was indeed reached when comparing the mean glenoid inclination achieved with Blueprint 2018 and Blueprint 2020, respectively. The glenoid version, as well as the humeral head subluxation evaluations, were not significantly different between the two software versions, with mean values being -9.4 ± 8.9 and -9.0 ± 7.4 and 60.1 ± 12.6 and 61.8 ± 12.0, respectively ( = 0.708 and = 0.115, respectively). In 22% of CT scans, the software update determined a variation of the glenoid inclination of more than 5° or 10°.
The present study shows the software update of an automated preoperative planning program may significantly modify the values of glenoid inclination. Even though without a significant difference, variations were also found for the glenoid version and humeral head subluxation. Accordingly, these results should further advise surgeons to carefully and critically evaluate data acquired with automated software.
本研究旨在评估软件更新对由自动化三维规划程序测量的肩胛盂倾斜度和版本以及肱骨头半脱位的影响。假设是软件更新可显著改变肩胛盂倾斜度和版本以及肱骨头半脱位的值。
使用自动化程序Blueprint在2018年对76例接受全肩关节置换术（TSA）或反式全肩关节置换术（RTSA）患者的肩部计算机断层扫描（CT）进行综合分析，并在2020年软件更新后再次分析。
比较分别用Blueprint 2018和Blueprint 2020获得的肩胛盂平均倾斜度时，确实达到了具有统计学意义的差异，分别为8.1±8.2和5.4±7.8（平均差异为-2.8±5.0，P<0.001）。两个软件版本之间的肩胛盂版本以及肱骨头半脱位评估无显著差异，平均值分别为-9.4±8.9和-9.0±7.4以及60.1±12.6和61.8±12.0（P分别为0.708和0.115）。在22%的CT扫描中，软件更新使肩胛盂倾斜度变化超过5°或10°。
本研究表明，自动化术前规划程序的软件更新可能会显著改变肩胛盂倾斜度的值。尽管无显著差异，但肩胛盂版本和肱骨头半脱位也存在变化。因此，这些结果应进一步建议外科医生仔细并审慎地评估用自动化软件获取的数据。
