Blueprint

Prior to any surgery, surgeons carefully craft a surgical plan to achieve a desired outcome for each patient. Blueprint allows the surgeon to visualize the patient’s native shoulder anatomy in a three-dimensional (3D) space; in that virtual space, the surgeon can plan the size and position of the implant materials and make provisions for the unique anatomy of a specific patient

What is Blueprint?

Blueprint is a software program that allows your surgeon to develop a pre-operative plan and order the surgical instrumentation personalized to your exact anatomy.

3D planning – virtual shoulder replacement

Using your CT scan, Blueprint creates a 3D model of your shoulder, allowing your surgeon to virtually perform your shoulder replacement and determine the surgical plan for you. Your personalized 3D plan is developed in advance of your surgery.

3D printing – patient specific instrumentation

Once the plan for your surgery has been developed, your surgeon may choose to order a 3D printed guide that is specific to your shoulder anatomy. The guide allows your surgeon to accurately translate the 3D plan to your shoulder in the operating room.1

Why Blueprint?

Studies have shown that using 3D pre-operative planning software like Blueprint and patient-specific instrumentation enables the surgeon to accurately position the glenoid implant and replicate the pre-operative surgical plan compared to standard techniques.2-5

How Blueprint works

Step 1: CT Scan

Your surgeon will order a CT scan of your shoulder using the Blueprint CT protocol. CT stands for Computed Tomography, this scan creates cross-sectional images of the shoulder using specialized X-ray cameras.

Step 2: Planning

Your surgeon loads your CT scan into Blueprint to create an anatomic 3D model of your shoulder and virtually perform you shoulder replacement surgery. Viewing your shoulder in 3D compared to traditional methods provides:
  • A better view of the unique anatomy of your shoulder1,2,3,4,6
  • Additional visualization of the wear patterns in your shoulder which may impact the type of implant used.
  • More precise measurements. 2,3,7
  • Better implant types and implant sizes as it relates to your anatomy. 6,7,8
  • Implant placement, to maximize bone preservation6

Step 3: Review and finalize

Your surgeon will carefully review all options and finalize your customized surgical plan. Your surgeon may choose to order a 3D printed patient-specific instrumentation (PSI) to assist with precisely transferring the surgical plan to your shoulder in the OR. 1,5

Step 4: Surgery

The surgeon can follow the personalized surgical plan during your surgery.

Download this brochure to learn more about Blueprint.

Click to view brochure

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References:
  1. Joseph Iannotti, MD, PhD, Justin Baker, PhD, Eric Rodriguez, BS, John Brems, MD, Eric Ricchetti, MD, Mena Mesiha, MD, and Json Bryon, MS. Three-dimensional pre-operative planning and a novel information transfer technology improve glenoid component positioning.
  2. Hoenecke HR jr1, Hermida JC, Flores-Hernandez C, D'Lima DD. Accuracy of CT based measurements of glenoid version for total shoulder arthroplasty.
  3. Gilles Walch, MD, Peter S. Vereridis, MD, Pascal Boileau, MD, Pierric Derasart, M. Eng, Jean Chaoui, PhD. Three-dimensional planning and use of patient-specific guides improve glenoid component position: an in vitro study.
  4. Hendel, et al. Comparison of Patient-Specific Instrumentation with Standard Surgical Instruments in Determining Glenoid Component Position. JBJS 2014; 96:e71(1-8)
  5. Gauci M.O, Boileau P, Baba M, Chaoui J, Walch G. Patient-specific glenoid guides provide accuracy and reproducibility in total shoulder arthroplasty. J Shoulder Elbow Surg, 2016 July; 98-B.
  6. Iannotti J, Jun, B.J, Patterson, Ricchetti E. Quantitative measurement of osseous pathology in advanced glenohumeral osteoarthritis. J Bone Elnow Surg. 2017;99:1460-8.
  7. Boileau P, Cheval D, Gauci, MD, Holzer N, Chaoui J, Walch G. Automated three-dimensional of glenoid version and inclination in arthritic shoulders. J Bone Joint Surg. 2018 Jan 3; 100(1) 57-65.
  8. Werner B, Hudek R, Burkhart K, Gohlke F. The influence of three-dimensional planning on decision-making in total shoulder arthroplasty. J Shoulder Elbow Arthroplasty. 2017 Feb 7; 28(8): 1477-1483.
Important information

Shoulder replacement

Anatomic total shoulder joint replacement is intended for use in individuals with painful, disabling joint disease of the shoulder resulting from: degenerative arthritis, rheumatoid arthritis or post-traumatic arthritis. Additional indications could include but not limited to: aseptic necrosis of the humeral head, proximal humeral fracture and revision of previous unsuccessful hemiarthroplasty or other procedures.

Reverse total shoulder joint replacement is intended for use in individuals with a functional deltoid muscle and with massive and non-repairable rotator cuff tear with pain disabled by: rheumatoid arthritis, non-inflammatory degenerative joint disease, humeral head fracture, traumatic arthritis and revision of devices if adequate bone stock remains.

Shoulder joint replacement surgery is not appropriate for patients with any active or suspected latent infection in or about the shoulder joint, any mental or neuromuscular disorder which would create an unacceptable risk of prosthesis in stability, prosthesis fixation failure or complications in postoperative care. Additionally, shoulder joint replacement surgery is not appropriate for patients whose anticipated activities would impose high stresses on the prosthesis and its fixation.

As with any surgery, shoulder joint replacement surgery has serious risks which include, but are not limited to, pain, infection, intraoperative complications, component wear, nerve damage, loosening of shoulder components and dislocation of the shoulder prosthesis.

Implant related risks which may lead to a revision or removal of the implant include being overweight, manual labor activities, some sports activities, patient age, activity level, medical conditions, alcohol or drug addiction, and mental disorders. Shoulder joint implants may not provide the same feel or performance characteristics experienced with a normal healthy joint

The information presented is for educational purposes only. Speak to your doctor to decide if joint replacement surgery is appropriate for you. Individual results vary and not all patients will return to the same activity level. The lifetime of any joint replacement is limited and depends on several factors like patient weight and activity level. Your doctor will counsel you about strategies to potentially prolong the lifetime of the device, including avoiding high-impact activities, as well as maintaining a healthy weight. It is important to closely follow your doctor’s instructions regarding post-surgery activity, treatment, and follow-up care. Ask your doctor if a joint replacement is right for you.

This site is for visitors from the United States.

Stryker Corporation or its divisions or other corporate affiliated entities own, use or have applied for the following trademarks or service marks: Blueprint, ReUnion, Simpliciti, Shoulder iD, Stryker, Tornier. All other trademarks are trademarks of their respective owners or holders.

Copyright © 2024 Stryker

OT-AWI-53 Oct-2023

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