Computer Aided Joint Replacement
In advanced cases of osteoarthritis or cuff tear arthropathy, the bone of the glenoid (socket) may be so badly damaged that conventional joint replacement may be extremely difficult or impossible to undertake. In such circumstances, the use of digital technology can be used to both plan and undertake, the surgery so that postoperative function and implant survivorship is optimised. If it is felt that conventional implants will be insufficient to deal with the bone loss of your own shoulder, bespoke implants can be 3D printed to perfectly match your shoulder. This is termed a CAD CAM implant (Computer aided deign - computer aided manufacture). However, if a conventional implant can still be used, a pre-operative CT can be used to plan the operation and have Patient Specific Instrumentation (PSI) made prior to your surgery. These bespoke jigs can then be used to place and secure the implant in the predetermined position that is most likely to deliver the best operative outcome.
Much of this technology has been developed at the Royal National Orthopaedic Hospital (RNOH) and Mr. Falworth has been involved in the design of such implants for over 15 years. Although, it makes up a substantial part of his NHS practice, his experience and expertise in this field is also used in his private practice. To facilitate this, Mr. Falworth has built up strong working relationships with DJO Global, Materialise, Adler Ortho, Lima Promade and Stanmore Implants Worldwide, all of whom are integral to the delivery of this technology.