Work

The role of intraoperative navigation in reverse total shoulder arthroplasty and its impact on clinical outcomes: a systematic review and meta-analysis

Year: 2026

Type: review

Study designs: Systematic Review, Meta-Analysis

Abstract: Background: Reverse total shoulder arthroplasty (rTSA) has evolved since its introduction, with intraoperative navigation emerging to enhance implant positioning accuracy. While navigation improves glenoid component placement, its impact on functional and patient-reported outcomes remains unclear. This systematic review and meta-analysis evaluates the role of intraoperative navigation in rTSA and its effect on range of motion (ROM) and patient-reported outcome measures (PROMs). Methods: tests. Results: = 0.00%). No significant differences were found for active abduction, forward elevation, internal rotation, or other PROMs. Narrative synthesis of a single-arm retrospective cohort study showed statistically and clinically significant improvements in ROM and PROMs with navigation, while comparative studies found no significant differences between navigated and conventional techniques. Heterogeneity was substantial for some outcomes, and the risk of bias was moderate. Conclusion: Our analysis shows primary rTSA with intraoperative navigation to be at least comparable, if not better in certain domains investigated, compared to conventional techniques. Emerging evidence suggests that the greatest utility of intraoperative navigation in rTSA may lie in its application to anatomically complex cases.

Source: JSES Reviews Reports and Techniques

DOI: 10.1016/j.xrrt.2026.100687

Authors: Arman Brian, Thi Ngoc Anh Hoang, Reshma Maria Samuel, Rajitha Gunaratne

Institutions: Curtin University, Royal Perth Hospital, Phenikaa University

Language: English

Topic: Shoulder Injury and Treatment

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,370