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Fort Lauderdale

Fort Lauderdale, Fla., hospital pioneers use of the recently FDA-approved patient-specific shoulder instrumentation

Holy Cross Hospital in Fort Lauderdale, Fla., performed the first reverse shoulder replacement in the nation utilizing the recently FDA-approved Match Point System™, which is designed to assist surgeons in positioning the shoulder socket (glenoid) component.

“The Holy Cross Hospital orthopedic team’s total commitment to innovation and mastering leading-edge technology has led to the pioneering of new devices and procedures including today’s latest milestone,” said Holy Cross Hospital President and CEO, Patrick A. Taylor, M.D.  “Our physicians’ dedication to their patients and passion for providing world-class care continues to make our orthopedic services among the best in the nation.”
Orthopedic surgeon Jonathan C. Levy performed the surgery on a 62-year-old female patient on October 29th.

“The Match Point surgical guides are manufactured and custom-made to each patient’s anatomy based on CT images and the surgeon’s pre-operative planning using 3D software,” Dr. Levy said.  “This new technology has the potential to revolutionize surgical planning and accurately executing the intended surgical procedure.  The experimental validation studies we performed displayed implant placement accuracy within one to two degrees.” (Watch video of Dr. Levy explaining this technology and what it means for patients.)

Nearly 75,000 people in the U.S. have shoulder replacement surgery each year, according to the Orthopaedic Network News. Among the candidates for reverse shoulder replacement, which relies on different muscles to move the arm, are those who have a completely torn rotator cuff, cuff tear arthropathy or a previous shoulder replacement that was unsuccessful.

The Match Point System generates a preoperative plan based on medical imaging data using SurgiCase Connect, the software component. This software is used pre-operatively by a qualified surgeon to inspect, fine-tune and approve the preoperative plan. The preoperative plan displays a virtual 3D model of the patient's scapula, a glenoid implant for either reverse or total shoulder replacement positioned onto the glenoid surface, and the central pin which corresponds to the glenoid implant's position. The implant and pin are initially displayed in a default location according to the surgical technique of the respective implant system. The surgeon modifies the default position by rotating and translating the pin and implant orientation. Once the implant is in the desired position, the surgeon approves the preoperative plan.

Once approved, a Match Point System guide is designed and manufactured based on the preoperative plan. Match Point System guides are patient specific templates that transfer the preoperatively approved pin positioning to the patient intra-operatively. The guide consists of a patient specific baseplate which conforms to the patient's anatomy. The drill cylinders position corresponds to the planned drill position. This drill cylinder's inner diameter matches the corresponding instrumentation's diameter.

Dr. Levy serves as Chief of Orthopedics for Holy Cross Hospital and Holy Cross HealthPlex and as Medical Director of the Holy Cross Orthopedic Research Institute.  Certified by the American Board of Orthopaedic Surgery and a member of the prestigious American Shoulder and Elbow Surgeons, he performs nearly 200 shoulder replacements and more than 150 arthroscopic rotator cuff surgeries each year.  Dr. Levy has authored more than 35 peer-reviewed publications and is on the editorial board of the Journal of Orthopaedic Trauma and Orthopaedics Today.

In 2011, Holy Cross established the Holy Cross Orthopedic Research Institute to advance the field through high-quality clinical and basic science, research and education.  The orthopedic program at Holy Cross is a national leader in introducing leading-edge orthopedic procedures and techniques that have helped patients to speed recovery and minimize pain. 

About Holy Cross Hospital

A member of CHE Trinity Health, Holy Cross Hospital in Fort Lauderdale, Fla. is a full-service, non-profit Catholic hospital, sponsored by the Sisters of Mercy. Since opening its doors in 1955, the 559-bed hospital has offered progressive services and programs to meet the evolving healthcare needs of Broward County. Today, Holy Cross has more than 600 physicians on staff representing more than 40 specialties and more than 3,000 employees. To learn more about Holy, visit holy-cross.com, “like” Holy Cross Hospital, Fort Lauderdale on Facebook, or follow @holycrossfl on Twitter.